This log is also available as text (s26105.txt) and as a (binary) annotation file (s26105.log).
Generated: Monday, 07-Jun-2010 13:20:48 EDT
(All dates below are surrogates.)
t0: [15:46:14 05/09/2016] tf: [15:28:48 23/10/2016] id: a40113 [view]
t0: [15:44:59 05/09/2016] tf: [15:27:59 23/10/2016] id: a40113n [view]
t0: [14:41:54 05/09/2016] tf: [21:04:14 09/09/2016] id: a40502 [view]
t0: [14:40:59 05/09/2016] tf: [07:57:59 13/09/2016] id: a40502n [view]
dd: 0388 ds: 3 ld: SEPTICEMIA NEC dd: 1120 ds: 9 ld: THRUSH dd: 39891 ds: 6 ld: RHEUMATIC HEART FAILURE dd: 4210 ds: 2 ld: AC/SUBAC BACT ENDOCARD dd: 4820 ds: 7 ld: K. PNEUMONIAE PNEUMONIA dd: 5119 ds: 8 ld: PLEURAL EFFUSION NOS dd: 5185 ds: 1 ld: POST TRAUM PULM INSUFFIC dd: 5715 ds: 5 ld: CIRRHOSIS OF LIVER NOS dd: 7070 ds: 4 ld: DECUBITUS ULCER
tf: [12:00:00 06/09/2016] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol Neb Soln v1: 1 u1: NEB tf: [12:00:00 06/09/2016] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Ipratropium Bromide Neb v1: 1 u1: NEB tf: [19:00:00 06/09/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 2 dn: 1 m1: Ceftriaxone v1: 1 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml tf: [19:00:00 06/09/2016] pt: IV Piggyback rt: IV fr: Q4H fs: 2, 6, 10, 14, 18, 22 dn: 6 m1: Ampicillin Sodium v1: 2 u1: gm m2: NS v2: 100 u2: ml tf: [19:00:00 06/09/2016] pt: Unit Dose rt: PO fr: Q12H fs: 2, 14 dn: 2 m1: Ciprofloxacin HCl v1: 500 u1: mg tf: [08:00:00 09/09/2016] pt: Unit Dose rt: PO fr: Q24H fs: 2 dn: 1 m1: Pantoprazole v1: 40 u1: mg tf: [10:00:00 11/09/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [12:00:00 20/10/2016] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen v1: 325-650 u1: mg tf: [12:00:00 20/10/2016] pt: Unit Dose rt: PR fr: Q4-6H:PRN m1: Acetaminophen (Rectal) v1: 325-650 u1: mg tf: [20:00:00 24/10/2016] pt: Unit Dose rt: IH fr: Q4H:PRN m1: Albuterol-Ipratropium v1: 2 u1: PUFF tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Oxycodone-Acetaminophen v1: 1-2 u1: TAB
tf: [06:00:00 10/09/2016] pt: Unit Dose rt: SC fr: Q12H fs: 3, 15 dn: 2 m1: Enoxaparin Sodium v1: 40 u1: mg
tf: [11:00:00 16/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Clonazepam v1: 0.5 u1: mg tf: [15:00:00 30/09/2016] pt: Unit Dose rt: AD fr: TID fs: 08, 16, 22 dn: 3 m1: Neomycin-Polymyxin-HC (Otic) v1: 4 u1: DROP
tf: [09:00:00 07/09/2016] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 80 u1: mg tf: [09:00:00 11/09/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Ferrous Sulfate v1: 325 u1: mg tf: [10:00:00 13/10/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Sertraline HCl v1: 50 u1: mg tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Ascorbic Acid v1: 500 u1: mg tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Zinc Sulfate v1: 220 u1: mg
tf: [15:00:00 06/09/2016] pt: Unit Dose rt: IH fr: Q6H fs: 13, 19, 1, 7 dn: 4 m1: Albuterol Neb Soln v1: 1 u1: NEB tf: [15:00:00 06/09/2016] pt: Unit Dose rt: IH fr: Q6H fs: 13, 19, 1, 7 dn: 4 m1: Ipratropium Bromide Neb v1: 1 u1: NEB tf: [15:00:00 06/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Furosemide v1: 80 u1: mg
tf: [15:58:00 24/10/2016] dt: 69177 cu: MICU di: No Disch Status
t0: [15:01:00 06/09/2016] id: BSA el: 1033 cu: MICU cg: 1531 t0: [15:01:00 06/09/2016] id: Admit Wt el: 1032 cu: MICU cg: 1531 t0: [15:01:00 06/09/2016] id: Allergy 1 el: 1020 cu: MICU cg: 1531 t0: [15:01:00 06/09/2016] id: Diagnosis/op el: 1023 cu: MICU cg: 1531 v1: CVA; CHF PNEUMONIA t0: [15:01:00 06/09/2016] id: Service el: 1026 cu: MICU cg: 1531 v1: MED t0: [15:01:00 06/09/2016] id: Admit Ht el: 1034 cu: MICU cg: 1531 t0: [15:01:00 06/09/2016] id: Readmission el: 1014 cu: MICU cg: 1531 t0: [15:01:00 06/09/2016] id: Marital Status el: 1006 cu: MICU cg: 1531 v1: M t0: [15:01:00 06/09/2016] id: Religion el: 1000 cu: MICU cg: 1531 v1: U t0: [15:01:00 06/09/2016] id: Allergy 2 el: 1021 cu: MICU cg: 1531 t0: [15:01:00 06/09/2016] id: Ext el: 1010 cu: MICU cg: 1531 t0: [15:01:00 06/09/2016] id: PIN el: 1012 cu: MICU cg: 1531 t0: [15:01:00 06/09/2016] id: Allergy 3 el: 1022 cu: MICU cg: 1531
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: [15:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [15:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [15:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 06/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 06/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [15:00:00 06/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.3 u1: Deg. F st: NotStopd t0: [15:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [16:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [16:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
tf: [20:00:00 24/10/2016] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol Neb Soln v1: 1 u1: NEB tf: [20:00:00 24/10/2016] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Ipratropium Bromide Neb v1: 1 u1: NEB
t0: [15:00:00 06/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [15:00:00 06/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [15:00:00 06/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [15:00:00 06/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [15:00:00 06/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [15:00:00 06/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [15:00:00 06/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 06/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [15:00:00 06/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bed as Chair st: NotStopd t0: [15:00:00 06/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 06/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [15:00:00 06/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 06/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [15:00:00 06/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [15:00:00 06/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 06/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [15:00:00 06/09/2016] id: Position el: 0 cu: MICU cg: RN st: NotStopd t0: [15:00:00 06/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 06/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 06/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [15:00:00 06/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 06/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [15:00:00 06/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [15:00:00 06/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Turns by self st: NotStopd t0: [15:00:00 06/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [15:00:00 06/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 06/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [15:00:00 06/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Anxious st: NotStopd t0: [15:00:00 06/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [15:00:00 06/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [15:00:00 06/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [15:00:00 06/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [15:00:00 06/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [15:00:00 06/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [15:00:00 06/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [15:00:00 06/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd t0: [16:00:00 06/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 06/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [16:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78.3333 u1: mmHg st: NotStopd
t0: [15:00:00 06/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN st: NotStopd
id: D5W el: 2 cu: MICU cg: RN io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [16:00:00 06/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 06/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [17:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [17:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [17:00:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 06/09/2016] tf: [10:00:00 18/09/2016] dt: 16920 id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [16:00:00 06/09/2016] tf: [00:00:00 08/09/2016] dt: 1920 id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [17:00:00 06/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [17:30:00 06/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 34.2 u1: % rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 221 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.37 u1: /mic l rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd
t0: [17:30:00 06/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 94 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 94 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [17:30:00 06/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [18:00:00 06/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [18:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 153 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [18:00:00 06/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [18:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 06/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [19:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [19:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [19:00:00 06/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 37 u1: BPM st: NotStopd t0: [19:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 06/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [19:30:00 06/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:30:00 06/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [19:30:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:30:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:30:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [19:30:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:30:00 06/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:30:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [19:30:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:30:00 06/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [19:30:00 06/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [19:30:00 06/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [19:30:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:30:00 06/09/2016] tf: [08:00:00 18/09/2016] dt: 16590 id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 50 vu: ml
t0: [23:00:00 06/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 50 ap: none
tf: [14:00:00 07/09/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 20, 8 dn: 2 m1: Vancomycin HCl v1: 750 u1: mg m2: D5W v2: 250 u2: ml tf: [18:00:00 07/09/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 20 dn: 1 m1: Levofloxacin v1: 500 u1: mg m2: Dextrose 5% v2: 100 u2: ml tf: [19:00:00 07/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 20 dn: 1 m1: Furosemide v1: 40 u1: mg
t0: [20:00:00 06/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [20:00:00 06/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [20:00:00 06/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 35 rs: Final st: NotStopd t0: [20:00:00 06/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [20:00:00 06/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 106 u1: mmHg rs: Final st: NotStopd t0: [20:00:00 06/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [20:00:00 06/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 06/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 06/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [20:00:00 06/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 06/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 06/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 06/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [20:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [20:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 06/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:00:00 06/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 06/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 06/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Poor st: NotStopd t0: [20:00:00 06/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 06/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 06/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [20:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [20:00:00 06/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 06/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 06/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 06/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 06/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 06/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [20:00:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [20:00:00 06/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 06/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 06/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 06/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 06/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 06/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 06/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Anxious st: NotStopd t0: [20:00:00 06/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [20:00:00 06/09/2016] tf: [10:00:00 18/09/2016] dt: 16680 id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [20:00:00 06/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
tf: [20:00:00 06/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 21 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: NS v2: 500 u2: ml tf: [20:00:00 07/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 21 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [20:00:00 07/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Lorazepam v1: 0.5 u1: mg
t0: [21:00:00 06/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 06/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [21:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [21:00:00 06/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [21:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 06/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 06/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [22:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [22:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73.3333 u1: mmHg st: NotStopd t0: [22:00:00 06/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [22:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 92 u1: % st: NotStopd t0: [22:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 06/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [21:00:00 06/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [22:00:00 06/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 06/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
tf: [23:00:00 06/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 25 u1: mg tf: [10:00:00 13/10/2016] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Olanzapine v1: 2.5 u1: mg
t0: [23:00:00 06/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 250 ap: none t0: [23:00:00 06/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 300 ap: none
tf: [22:00:00 07/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 23 dn: 1 m1: Furosemide v1: 80 u1: mg tf: [11:00:00 16/09/2016] pt: Unit Dose rt: PO fr: HS:PRN m1: Diphenhydramine HCl v1: 25 u1: mg
t0: [23:00:00 06/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 06/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 06/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 06/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 06/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 06/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [23:00:00 06/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 06/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [23:00:00 06/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [23:00:00 06/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 06/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [23:00:00 06/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 06/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 06/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [23:00:00 06/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 06/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -50 cv: -50 ap: none t0: [23:00:00 06/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 50 cv: 1100 ap: none t0: [23:00:00 06/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -50 cv: -800 ap: none t0: [23:00:00 06/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 50 cv: 1100 ap: none t0: [23:00:00 06/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -50 cv: -800 ap: none
tf: [23:00:00 07/09/2016] pt: Unit Dose rt: PO fr: ONCE fs: 0 dn: 1 m1: Potassium Chloride v1: 20 u1: mEq
t0: [20:00:00 06/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [20:00:00 06/09/2016] id: AaDO2 el: 0 cu: MICU cg: RN v1: 343.1 u1: mmHg st: NotStopd t0: [20:00:00 06/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd t0: [20:00:00 06/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 12 u1: lpm st: NotStopd t0: [20:00:00 06/09/2016] id: PAO2 el: 0 cu: MICU cg: RN v1: 449.1 u1: mmHg st: NotStopd t0: [23:00:00 06/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [23:00:00 06/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [23:00:00 06/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [23:00:00 06/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [23:00:00 06/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 06/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [23:00:00 06/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [23:00:00 06/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [23:00:00 06/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 06/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [23:00:00 06/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 06/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [23:00:00 06/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [23:00:00 06/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [23:00:00 06/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 06/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [23:00:00 06/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [00:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [00:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 07/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 07/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [00:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [00:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [00:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 07/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 250 vu: ml
t0: [23:00:00 07/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 45 cv: 45 ap: none t0: [23:00:00 07/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 155 cv: 155 ap: none t0: [23:00:00 07/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 200 cv: 1130 ap: none t0: [23:00:00 07/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 200 cv: 1650 ap: none t0: [23:00:00 07/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 45 cv: 995 ap: none t0: [23:00:00 07/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 155 cv: 655 ap: none t0: [23:00:00 07/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 45 cv: 995 ap: none t0: [23:00:00 07/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 155 cv: -145 ap: none
t0: [00:00:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [00:00:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd t0: [00:00:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 12 u1: lpm st: NotStopd t0: [00:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [01:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [01:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [01:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [01:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [01:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [01:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [02:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 07/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 07/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [02:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [02:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [02:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 07/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [02:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Poor st: NotStopd t0: [02:00:00 07/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 07/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [02:00:00 07/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [02:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [02:00:00 07/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 07/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [02:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [02:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 07/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 07/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [02:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [02:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 07/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [02:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [02:00:00 07/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [02:00:00 07/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [02:00:00 07/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [02:00:00 07/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 07/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [02:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [02:00:00 07/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml t0: [01:00:00 07/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [01:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml t0: [02:00:00 07/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 50 vu: ml t0: [02:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [03:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [03:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [03:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [03:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [03:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [03:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
tf: [03:00:00 08/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 4 dn: 1 m1: Ceftazidime v1: 1 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
t0: [04:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 07/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [04:00:00 07/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [04:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 07/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [04:00:00 07/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 07/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 07/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 07/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [04:00:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Aerosol-Cool st: NotStopd t0: [04:00:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 12 u1: lpm st: NotStopd t0: [04:00:00 07/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 07/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 07/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [04:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [04:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 07/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 07/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 07/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 07/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 20 vu: ml t0: [04:00:00 07/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [05:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [05:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 152 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [05:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [05:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [05:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [06:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [06:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [06:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [06:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [06:00:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Hi Flow Neb st: NotStopd t0: [06:00:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 12 u1: lpm st: NotStopd t0: [06:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 89 u1: % st: NotStopd t0: [06:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 07/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 50 vu: ml t0: [06:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [06:00:00 07/09/2016] id: Pain Level el: 0 cu: MICU cg: RN v1: 7-Mod to Severe st: NotStopd t0: [06:00:00 07/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 07/09/2016] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [06:00:00 07/09/2016] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: 7-Mod to Severe st: NotStopd t0: [06:00:00 07/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [06:00:00 07/09/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: PO Med st: NotStopd t0: [06:00:00 07/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: Aching st: NotStopd
t0: [05:00:00 07/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.7 u1: % rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.4 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 206 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.82 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.6 rs: Final st: NotStopd
t0: [06:00:00 07/09/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd
t0: [05:00:00 07/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 9.3 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 95 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 9.3 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 95 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [05:00:00 07/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd
tf: [09:00:00 07/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 6.25 u1: mg tf: [07:00:00 08/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 8 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [07:00:00 08/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [07:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [07:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [07:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [07:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [07:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 77.3333 u1: mmHg st: NotStopd t0: [07:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 07/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 07/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [08:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 07/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: -1 v1: No/Not Sedated st: NotStopd t0: [08:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 07/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Frequent st: NotStopd t0: [08:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 07/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [08:00:00 07/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 90 degrees st: NotStopd t0: [08:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [08:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 07/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 07/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 07/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [08:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 07/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 07/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 07/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: -1 v1: Hi Flow Neb st: NotStopd t0: [08:00:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 v1: 12 u1: lpm st: NotStopd t0: [08:00:00 07/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 07/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 07/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 07/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 07/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Independent st: NotStopd t0: [08:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 07/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 07/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [08:00:00 07/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 07/09/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 07/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [08:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 07/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [08:00:00 07/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.7778 u1: Deg. C st: NotStopd t0: [08:00:00 07/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.2 u1: Deg. F st: NotStopd t0: [08:00:00 07/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Turns by self st: NotStopd t0: [08:00:00 07/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [08:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 07/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 07/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [08:00:00 07/09/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 07/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 07/09/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 07/09/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 07/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 07/09/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [08:00:00 07/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: No Impairment st: NotStopd
t0: [08:00:00 07/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 103 vo: 60 vu: ml t0: [08:00:00 07/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 50 vu: ml t0: [08:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 45 vu: ml
t0: [09:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [09:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Frequent st: NotStopd t0: [09:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [09:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [09:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [09:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 144 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [09:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [09:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [09:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 07/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 103 vo: 30 vu: ml t0: [09:00:00 07/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 50 vu: ml t0: [09:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 25 vu: ml
t0: [23:00:00 07/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 520 ap: none
t0: [09:12:00 07/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [09:12:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:12:00 07/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [09:12:00 07/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [09:12:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: None st: NotStopd t0: [09:12:00 07/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [09:12:00 07/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [09:12:00 07/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [09:12:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Bipap Mask st: NotStopd t0: [09:12:00 07/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:12:00 07/09/2016] id: Peak Flow el: 0 cu: MICU cg: RRT u1: L/m st: NotStopd t0: [09:12:00 07/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [09:12:00 07/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [09:12:00 07/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [09:12:00 07/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [09:12:00 07/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [09:12:00 07/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [09:12:00 07/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [09:12:00 07/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:12:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [09:12:00 07/09/2016] id: BIPAP - EPAP el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:12:00 07/09/2016] id: BIPAP - IPAP el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [09:12:00 07/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 340 u1: ml/B st: NotStopd t0: [09:12:00 07/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [09:12:00 07/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [09:12:00 07/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [09:00:00 07/09/2016] id: Procedures el: 0 cu: MICU cg: -1 v1: Cardiac Echo st: NotStopd t0: [09:00:00 07/09/2016] id: Significant Events el: 0 cu: MICU cg: -1 st: NotStopd
t0: [10:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [10:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Frequent st: NotStopd t0: [10:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [10:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [10:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 136 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [10:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [10:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [10:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
tf: [18:00:00 07/09/2016] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Lorazepam v1: 0.5-1 u1: mg tf: [09:00:00 08/09/2016] pt: Unit Dose rt: PO fr: ONCE fs: 10 dn: 1 m1: Lorazepam v1: 1 u1: mg
t0: [10:00:00 07/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml
t0: [11:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [11:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Frequent st: NotStopd t0: [11:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [11:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [11:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 71.3333 u1: mmHg st: NotStopd t0: [11:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [11:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [12:00:00 07/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 07/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [12:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 07/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Frequent st: NotStopd t0: [12:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 07/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 07/09/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Fam Talked to MD st: NotStopd t0: [12:00:00 07/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 90 degrees st: NotStopd t0: [12:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [12:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 07/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [12:00:00 07/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 07/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [12:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 07/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 07/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 07/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 78.6667 u1: mmHg st: NotStopd t0: [12:00:00 07/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 07/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 07/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 07/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 07/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Independent st: NotStopd t0: [12:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 07/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 07/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 07/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [12:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 07/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [12:00:00 07/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.7222 u1: Deg. C st: NotStopd t0: [12:00:00 07/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.1 u1: Deg. F st: NotStopd t0: [12:00:00 07/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Turns by self st: NotStopd t0: [12:00:00 07/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [12:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 07/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 07/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 113 rs: Manual st: NotStopd t0: [12:00:00 07/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [12:00:00 07/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 250 vu: ml t0: [12:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [12:13:00 07/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [12:13:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:13:00 07/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:13:00 07/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:13:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: None st: NotStopd t0: [12:13:00 07/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [12:13:00 07/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2 st: NotStopd t0: [12:13:00 07/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:13:00 07/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.8 u1: L/min st: NotStopd t0: [12:13:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Bipap Mask st: NotStopd t0: [12:13:00 07/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:13:00 07/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [12:13:00 07/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [12:13:00 07/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [12:13:00 07/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [12:13:00 07/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [12:13:00 07/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [12:13:00 07/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:13:00 07/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:13:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [12:13:00 07/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [12:13:00 07/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [12:13:00 07/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:13:00 07/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [13:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [13:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Frequent st: NotStopd t0: [13:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [13:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [13:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [13:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [13:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [13:00:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Hi Flow Neb st: NotStopd t0: [13:00:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 15 u1: lpm st: NotStopd
tf: [17:00:00 09/09/2016] pt: Unit Dose rt: PO fr: ASDIR m1: Acetylcysteine 20% v1: 600 u1: mg
t0: [13:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [13:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 79.6667 u1: mmHg st: NotStopd
t0: [13:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
t0: [13:10:00 07/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [13:10:00 07/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 34 rs: Final st: NotStopd t0: [13:10:00 07/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [13:10:00 07/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 109 u1: mmHg rs: Final st: NotStopd
t0: [13:10:00 07/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: RRT v1: 7.4 rs: Final st: NotStopd t0: [13:10:00 07/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: RRT v1: 7.4 rs: Final st: NotStopd
t0: [14:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [14:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [14:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [14:00:00 07/09/2016] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 90 degrees st: NotStopd t0: [14:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [14:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [14:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [14:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 71.6667 u1: mmHg st: NotStopd t0: [14:00:00 07/09/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [14:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [14:00:00 07/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [14:00:00 07/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [14:00:00 07/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 07/09/2016] id: Bath el: 1 cu: MICU cg: -1 v1: Done
t0: [14:00:00 07/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 103 vo: 50 vu: ml t0: [14:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 25 vu: ml
t0: [15:10:00 07/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [15:10:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [15:10:00 07/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:10:00 07/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [15:10:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: None st: NotStopd t0: [15:10:00 07/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2 st: NotStopd t0: [15:10:00 07/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [15:10:00 07/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 2.2 u1: L/min st: NotStopd t0: [15:10:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Bipap Mask st: NotStopd t0: [15:10:00 07/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [15:10:00 07/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [15:10:00 07/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [15:10:00 07/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [15:10:00 07/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [15:10:00 07/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [15:10:00 07/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [15:10:00 07/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [15:10:00 07/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:10:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [15:10:00 07/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 200 u1: ml/B st: NotStopd t0: [15:10:00 07/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [15:10:00 07/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [15:10:00 07/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [15:18:00 07/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [15:18:00 07/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP st: NotStopd
t0: [14:00:00 07/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [14:00:00 07/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [14:00:00 07/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [15:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [15:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [15:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [15:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [15:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [15:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [15:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [15:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [15:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 15 vu: ml
t0: [15:27:00 07/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 100 u1: ml/B st: NotStopd
t0: [15:37:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [15:37:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: None st: NotStopd t0: [15:37:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Hi Flow Neb st: NotStopd t0: [15:37:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd
tf: [12:00:00 07/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 12.5 u1: mg
t0: [16:00:00 07/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 07/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Pt Verbalized st: NotStopd t0: [16:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [16:00:00 07/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [16:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [16:00:00 07/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 07/09/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 07/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [16:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [16:00:00 07/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [16:00:00 07/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 07/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [16:00:00 07/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [16:00:00 07/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 07/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 07/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 07/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 07/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [16:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [16:00:00 07/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 07/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 07/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 07/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 07/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 07/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 07/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [16:00:00 07/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 07/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [16:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 07/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [16:00:00 07/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.7778 u1: Deg. C st: NotStopd t0: [16:00:00 07/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.2 u1: Deg. F st: NotStopd t0: [16:00:00 07/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [16:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 07/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Anxious st: NotStopd t0: [16:00:00 07/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 124 rs: Manual st: NotStopd t0: [16:00:00 07/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [13:00:00 07/09/2016] tf: [19:00:00 13/09/2016] dt: 9000 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 07/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 07/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 07/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 103 vo: 60 vu: ml t0: [16:00:00 07/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml
t0: [16:18:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [16:18:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: None st: NotStopd t0: [16:18:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Hi Flow Neb st: NotStopd t0: [16:18:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 15 u1: lpm st: NotStopd
t0: [16:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 90 degrees st: NotStopd t0: [16:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Fair st: NotStopd t0: [16:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [16:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 07/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [17:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [17:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [17:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [17:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [17:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [17:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 139 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [17:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 98.3333 u1: mmHg st: NotStopd t0: [17:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [17:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [17:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 07/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 15 vu: ml
t0: [18:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [18:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [18:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [18:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 90 degrees st: NotStopd t0: [18:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [18:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [18:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Fair st: NotStopd t0: [18:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [18:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [18:00:00 07/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [18:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 07/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 35 vu: ml
t0: [18:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [18:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 71.6667 u1: mmHg st: NotStopd
tf: [18:00:00 08/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 19 dn: 1 m1: Lorazepam v1: 1.5 u1: mg tf: [18:00:00 09/09/2016] pt: Unit Dose rt: IV fr: Q6H fs: 19, 1, 7, 13 dn: 4 m1: Hydralazine HCl v1: 10 u1: mg tf: [17:00:00 21/09/2016] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Lorazepam v1: 1-2 u1: mg
tf: [18:00:00 07/09/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 20, 8 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [19:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 07/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [19:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [19:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 07/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [19:00:00 07/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [19:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [19:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 07/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [19:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Commode st: NotStopd t0: [19:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [19:00:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 07/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [19:00:00 07/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [19:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [19:00:00 07/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [19:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [19:00:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Hi Flow Neb st: NotStopd t0: [19:00:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [19:00:00 07/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [19:00:00 07/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [19:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Supervised st: NotStopd t0: [19:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 07/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [19:00:00 07/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [19:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [19:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 36 u1: BPM st: NotStopd t0: [19:00:00 07/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [19:00:00 07/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [19:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [19:00:00 07/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [19:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Anxious st: NotStopd t0: [19:00:00 07/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [20:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [20:00:00 07/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:00:00 07/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [20:00:00 07/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 07/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Hi Flow Neb st: NotStopd t0: [20:00:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [20:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Supervised st: NotStopd t0: [20:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [20:00:00 07/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 07/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd
t0: [20:00:00 07/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [20:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 151 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [20:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd
t0: [21:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 07/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 07/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [21:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [21:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 80.6667 u1: mmHg st: NotStopd t0: [21:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 37 u1: BPM st: NotStopd t0: [21:00:00 07/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [21:00:00 07/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [21:00:00 07/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [21:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 07/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 200 vu: ml t0: [21:00:00 07/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml
t0: [19:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Clear Liquid st: NotStopd t0: [21:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Clear Liquid st: NotStopd t0: [21:00:00 07/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 07/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [21:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [21:00:00 07/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 07/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [21:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [21:00:00 07/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [21:00:00 07/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [21:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 07/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [21:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Anxious st: NotStopd
t0: [21:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [22:00:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [22:00:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd
id: Propofol el: 100 cu: MICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
id: N/A el: 1 cu: MICU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [23:00:00 07/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 28 u1: ml/cmH st: NotStopd t0: [23:00:00 07/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [23:00:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 1 u1: torr st: NotStopd t0: [23:00:00 07/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [23:00:00 07/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [23:00:00 07/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3 st: NotStopd t0: [23:00:00 07/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [23:00:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [23:00:00 07/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 u1: Deg. C st: NotStopd t0: [23:00:00 07/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [23:00:00 07/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 2 st: NotStopd t0: [23:00:00 07/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [23:00:00 07/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 10.4 u1: L/min st: NotStopd t0: [23:00:00 07/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [23:00:00 07/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 35 u1: cmH2O st: NotStopd t0: [23:00:00 07/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [23:00:00 07/09/2016] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 0 u1: . st: NotStopd t0: [23:00:00 07/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [23:00:00 07/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [23:00:00 07/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [23:00:00 07/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [23:00:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 07/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 665 u1: ml/B st: NotStopd t0: [23:00:00 07/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [23:00:00 07/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [23:00:00 07/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [23:00:00 07/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [22:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [22:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [22:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:15:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [22:15:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:15:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Hi Flow Neb st: NotStopd t0: [22:15:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [22:15:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:15:00 07/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [22:30:00 07/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [22:30:00 07/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:30:00 07/09/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Hi Flow Neb st: NotStopd t0: [22:30:00 07/09/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [22:30:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:30:00 07/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [23:00:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Very Sedated st: NotStopd t0: [23:00:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [23:00:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [23:00:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:15:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:15:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:15:00 07/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Very Sedated st: NotStopd t0: [23:15:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [23:15:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:15:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:15:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [23:15:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:15:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:15:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:15:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 07/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml
t0: [23:35:00 07/09/2016] id: BSA el: 1033 cu: MICU cg: -1 t0: [23:35:00 07/09/2016] id: Admit Wt el: 1032 cu: MICU cg: -1 v1: 173 u1: kg t0: [23:35:00 07/09/2016] id: Allergy 1 el: 1020 cu: MICU cg: -1 t0: [23:35:00 07/09/2016] id: Diagnosis/op el: 1023 cu: MICU cg: -1 v1: CVA; CHF PNEUMONIA t0: [23:35:00 07/09/2016] id: Service el: 1026 cu: MICU cg: -1 v1: MED t0: [23:35:00 07/09/2016] id: Admit Ht el: 1034 cu: MICU cg: -1 t0: [23:35:00 07/09/2016] id: Readmission el: 1014 cu: MICU cg: -1 t0: [23:35:00 07/09/2016] id: Marital Status el: 1006 cu: MICU cg: -1 v1: M t0: [23:35:00 07/09/2016] id: Religion el: 1000 cu: MICU cg: -1 v1: U t0: [23:35:00 07/09/2016] id: Allergy 2 el: 1021 cu: MICU cg: -1 t0: [23:35:00 07/09/2016] id: Ext el: 1010 cu: MICU cg: -1 t0: [23:35:00 07/09/2016] id: PIN el: 1012 cu: MICU cg: -1 t0: [23:35:00 07/09/2016] id: Allergy 3 el: 1022 cu: MICU cg: -1
t0: [22:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [22:00:00 07/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 07/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 07/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [22:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [22:00:00 07/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [22:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Poor st: NotStopd t0: [22:00:00 07/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [22:00:00 07/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [22:00:00 07/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 07/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 07/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [22:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [22:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Independent st: NotStopd t0: [22:00:00 07/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [22:00:00 07/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [22:00:00 07/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 07/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [22:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [22:00:00 07/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [22:00:00 07/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [22:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 07/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [22:00:00 07/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Anxious st: NotStopd t0: [22:00:00 07/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [22:00:00 07/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [22:00:00 07/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [22:00:00 07/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [22:00:00 07/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [22:00:00 07/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [22:00:00 07/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [22:00:00 07/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd t0: [23:00:00 07/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 07/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [23:00:00 07/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 07/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 07/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [23:00:00 07/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 07/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [23:00:00 07/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [23:00:00 07/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 07/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 07/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 07/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 07/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [23:00:00 07/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 07/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 07/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 07/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 07/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [23:00:00 07/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 07/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [23:00:00 07/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 07/09/2016] id: Significant Events el: 0 cu: MICU cg: RN v1: Intubated st: NotStopd t0: [23:00:00 07/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [23:00:00 07/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [23:15:00 07/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd
t0: [23:00:00 07/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [23:15:00 07/09/2016] tf: [15:58:00 24/10/2016] dt: 67243 id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 07/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [23:00:00 07/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 07/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [23:00:00 07/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:30:00 07/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:30:00 07/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 07/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:30:00 07/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 74 u1: BPM st: NotStopd t0: [23:30:00 07/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:30:00 07/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:30:00 07/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [23:30:00 07/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:30:00 07/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:30:00 07/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:30:00 07/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Very Sedated st: NotStopd t0: [00:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 08/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 4 u1: points st: NotStopd t0: [00:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 65 u1: BPM st: NotStopd t0: [00:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 08/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 08/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 08/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 92 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [00:00:00 08/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 54.6667 u1: mmHg st: NotStopd t0: [00:00:00 08/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 08/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 08/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 08/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 08/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 08/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [00:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [00:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 08/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 08/09/2016] tf: [00:00:00 14/09/2016] dt: 8640 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 0 vu: ml
t0: [23:30:00 07/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.8 u1: torr st: NotStopd
t0: [00:00:00 08/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 08/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 08/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [00:00:00 08/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [00:00:00 08/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 08/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 08/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 08/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 08/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 08/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 08/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [00:00:00 08/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [00:00:00 08/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 9 u1: number st: NotStopd t0: [00:00:00 08/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [00:49:00 08/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 13.0788 u1: ml/dl st: NotStopd t0: [00:49:00 08/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 112 rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 237 u1: mmHg rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 112 rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.15 rs: Final st: NotStopd t0: [00:49:00 08/09/2016] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [00:00:00 08/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 08/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 08/09/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [00:30:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:30:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:30:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:30:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:30:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:30:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 76 u1: BPM st: NotStopd t0: [00:30:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:30:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [00:30:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [00:30:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:30:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:30:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:30:00 08/09/2016] id: Significant Events el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:30:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:30:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:30:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [01:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [01:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [01:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [01:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [01:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [01:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [01:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [01:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [01:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [01:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [01:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [01:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [01:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [01:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [01:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [01:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [01:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 51.9 vu: ml t0: [01:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 0 vu: ml
t0: [00:30:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 08/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 08/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 61.52 cv: 61.52 ap: none t0: [23:00:00 08/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 61.52 cv: 3106.6 ap: none t0: [23:00:00 08/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 61.52 cv: 3226.6 ap: none t0: [23:00:00 08/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 1060 ap: none t0: [23:00:00 08/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 61.52 cv: 2166.6 ap: none t0: [23:00:00 08/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 1060 ap: none t0: [23:00:00 08/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 61.52 cv: 2021.6 ap: none
t0: [01:00:00 08/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [01:00:00 08/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [01:00:00 08/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [01:00:00 08/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:4 st: NotStopd t0: [01:00:00 08/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [01:00:00 08/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [01:00:00 08/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [01:00:00 08/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 2 st: NotStopd t0: [01:00:00 08/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 08/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 08/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [01:00:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [01:00:00 08/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [01:00:00 08/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 31.25 u1: ml/cmH st: NotStopd t0: [01:00:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 08/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 14 u1: cmH2O st: NotStopd t0: [01:00:00 08/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 6.04 u1: L/min st: NotStopd t0: [01:00:00 08/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 26 u1: cmH2O st: NotStopd t0: [01:00:00 08/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 23 u1: cmH2O st: NotStopd t0: [01:00:00 08/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [01:00:00 08/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [01:00:00 08/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [01:00:00 08/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 436 u1: ml/B st: NotStopd t0: [01:00:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 500 u1: ml/B st: NotStopd
t0: [01:30:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:30:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:30:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [01:30:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:30:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:30:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [01:30:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:30:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:30:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:30:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [02:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [02:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 08/09/2016] tf: [03:00:00 14/09/2016] dt: 8700 id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 15 vu: ml
t0: [01:30:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [02:00:00 08/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [02:00:00 08/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 08/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 08/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 08/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 08/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [02:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [02:00:00 08/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [02:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 08/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
tf: [17:00:00 21/09/2016] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg tf: [20:00:00 24/10/2016] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Morphine Sulfate v1: 1-2 u1: mg
t0: [02:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [02:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:30:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:30:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:30:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:30:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:30:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd
t0: [02:35:00 08/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 12.4847 u1: ml/dl st: NotStopd t0: [02:35:00 08/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 35 rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 97 u1: % rs: Final st: NotStopd t0: [02:35:00 08/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [02:48:00 08/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [02:48:00 08/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [02:48:00 08/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [02:48:00 08/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [02:48:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [02:48:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [02:48:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd
t0: [03:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [03:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [03:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [03:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [03:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [03:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:30:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:30:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:30:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:30:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [03:30:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:30:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [03:30:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:30:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:30:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:30:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 250 vu: ml t0: [03:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 62.28 vu: ml t0: [03:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 10 vu: ml
t0: [03:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:30:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [03:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [03:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [03:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [03:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [03:58:00 08/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [03:58:00 08/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [03:58:00 08/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [03:58:00 08/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 52 u1: mmHg rs: Final st: NotStopd t0: [03:58:00 08/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 125 u1: mmHg rs: Final st: NotStopd t0: [03:58:00 08/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [03:58:00 08/09/2016] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [03:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [03:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [04:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 08/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [04:00:00 08/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 08/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [04:00:00 08/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 08/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [04:00:00 08/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 08/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [04:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [04:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 250 vu: ml t0: [04:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 15 vu: ml
t0: [04:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:30:00 08/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.5 u1: % rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.2 u1: gm/dl rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 204 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.87 u1: /mic l rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [03:58:00 08/09/2016] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 12.4689 u1: ml/dl st: NotStopd
t0: [03:30:00 08/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 16 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 96 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 122 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 16 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 96 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 122 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [05:00:00 08/09/2016] id: Peak Flow el: 0 cu: MICU cg: -1 st: D/C'd
t0: [05:00:00 08/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 28.5714 u1: ml/cmH st: NotStopd t0: [05:00:00 08/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 08/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [05:00:00 08/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [05:00:00 08/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [05:00:00 08/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [05:00:00 08/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [05:00:00 08/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 2 st: NotStopd t0: [05:00:00 08/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 8.6 u1: L/min st: NotStopd t0: [05:00:00 08/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 26 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 2 u1: BPM st: NotStopd t0: [05:00:00 08/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [05:00:00 08/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [05:00:00 08/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [05:00:00 08/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [05:00:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [05:00:00 08/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [05:00:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [05:00:00 08/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [05:11:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd
t0: [05:00:00 08/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: -1 v1: PEEP >10 st: NotStopd
t0: [05:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [05:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [05:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [05:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [05:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [05:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [05:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [05:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 250 vu: ml t0: [05:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 57.09 vu: ml t0: [05:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [05:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [05:00:00 09/09/2016] pt: Unit Dose rt: NG fr: ONCE MR1 fs: 6 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq tf: [05:00:00 09/09/2016] pt: Unit Dose rt: PO fr: ONCE MR1 fs: 6 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
t0: [01:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [01:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [01:00:00 08/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Clear v2: Thick st: NotStopd t0: [01:00:00 08/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [02:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [02:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [02:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [03:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [03:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [05:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [05:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [05:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 08/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [05:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 08/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 08/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Prone st: NotStopd t0: [05:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [05:00:00 08/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 08/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Clear v2: Thick st: NotStopd t0: [05:00:00 08/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [05:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [05:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [06:00:00 08/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [06:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [06:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [06:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [06:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 08/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [06:00:00 08/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 08/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [06:00:00 08/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [06:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [06:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 08/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 08/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [06:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [06:00:00 08/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [06:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 08/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [06:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25.95 vu: ml
t0: [06:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:42:00 08/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [06:42:00 08/09/2016] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 12.503 u1: ml/dl st: NotStopd t0: [06:42:00 08/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:42:00 08/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [06:42:00 08/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 34 rs: Final st: NotStopd t0: [06:42:00 08/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [06:42:00 08/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 136 u1: mmHg rs: Final st: NotStopd t0: [06:42:00 08/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [06:42:00 08/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:42:00 08/09/2016] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [07:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [07:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [07:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [07:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [07:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [07:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [07:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [07:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 08/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 250 vu: ml t0: [07:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20.76 vu: ml
t0: [07:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [07:00:00 09/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 8 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
id: Gastric Meds el: 1 cu: MICU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube
t0: [08:00:00 08/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 08/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 08/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Change in Vitals st: NotStopd t0: [08:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 08/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [08:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 08/09/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [08:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [08:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 08/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 08/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 08/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 08/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 08/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [08:00:00 08/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 08/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [08:00:00 08/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 08/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [08:00:00 08/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 08/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 08/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 08/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 08/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 121 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 08/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 08/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 08/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 08/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 08/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 08/09/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [08:00:00 08/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [08:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 08/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 08/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 08/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [08:00:00 08/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Sediment st: NotStopd t0: [08:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 08/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 08/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [08:00:00 08/09/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 08/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 08/09/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 08/09/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 08/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [08:00:00 08/09/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 08/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [07:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 15 vu: ml t0: [08:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20.76 vu: ml
t0: [08:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 7 u1: points st: NotStopd t0: [08:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd
t0: [08:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml
t0: [08:00:00 08/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Clear v2: Thin st: NotStopd t0: [08:00:00 08/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [09:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [09:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [09:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [09:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [09:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [09:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [09:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [09:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20.76 vu: ml t0: [09:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
t0: [09:00:00 08/09/2016] tf: [10:00:00 18/09/2016] dt: 14460 id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 60 vu: ml
t0: [09:11:00 08/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 28.2609 u1: ml/cmH st: NotStopd t0: [09:11:00 08/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [09:11:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:11:00 08/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [09:11:00 08/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:11:00 08/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [09:11:00 08/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [09:11:00 08/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [09:11:00 08/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [09:11:00 08/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [09:11:00 08/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [09:11:00 08/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [09:11:00 08/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.1 u1: L/min st: NotStopd t0: [09:11:00 08/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:11:00 08/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [09:11:00 08/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [09:11:00 08/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [09:11:00 08/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [09:11:00 08/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [09:11:00 08/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [09:11:00 08/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [09:11:00 08/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:11:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [09:11:00 08/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Tenacious st: NotStopd t0: [09:11:00 08/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [09:11:00 08/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [09:11:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [09:11:00 08/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd
t0: [09:11:00 08/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RRT v1: Diminished st: NotStopd t0: [09:11:00 08/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RRT v1: Clear st: NotStopd t0: [09:11:00 08/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RRT v1: Clear st: NotStopd t0: [09:11:00 08/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RRT v1: Clear st: NotStopd t0: [09:11:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RRT v1: Regular st: NotStopd
t0: [09:11:00 08/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd
t0: [09:19:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:19:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 90 u1: % st: NotStopd t0: [09:19:00 08/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [09:19:00 08/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [09:19:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [09:32:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 95 u1: % st: NotStopd t0: [09:32:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
tf: [14:00:00 11/10/2016] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol Neb Soln v1: 1 u1: NEB tf: [20:00:00 24/10/2016] pt: Unit Dose rt: IH fr: Q6H fs: 10, 16, 22, 4 dn: 4 m1: Ipratropium Bromide Neb v1: 1 u1: NEB
t0: [09:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [09:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 08/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [09:00:00 08/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [09:00:00 08/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [09:00:00 08/09/2016] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [09:00:00 08/09/2016] id: Significant Events el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [09:00:00 08/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [09:00:00 08/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [10:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [10:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [10:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [10:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [10:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [10:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [10:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [10:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 08/09/2016] id: Significant Events el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [10:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [10:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [10:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 08/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 1000 vu: ml t0: [10:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20.76 vu: ml t0: [10:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
t0: [10:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 15 degrees st: NotStopd t0: [10:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 08/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [10:00:00 08/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 08/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [10:00:00 08/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 08/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [11:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20.76 vu: ml
t0: [09:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [11:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [11:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [11:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [11:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [11:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:00:00 08/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 104 rs: Manual st: NotStopd
t0: [11:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml
t0: [11:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: D5W el: 1 cu: MICU cg: -1 io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [12:00:00 08/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 08/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 08/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Change in Vitals st: NotStopd t0: [12:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 08/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [12:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [12:00:00 08/09/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [12:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [12:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 08/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [12:00:00 08/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 08/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 08/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [12:00:00 08/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 08/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [12:00:00 08/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 08/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [12:00:00 08/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 08/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 08/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [12:00:00 08/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 08/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Exp Wheeze st: NotStopd t0: [12:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 08/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:00:00 08/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 08/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [12:00:00 08/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 08/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 08/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [12:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 08/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Bronchial st: NotStopd t0: [12:00:00 08/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Exp Wheeze st: NotStopd t0: [12:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [12:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 08/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [12:00:00 08/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 08/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [12:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 08/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 08/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [12:00:00 08/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [12:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [12:00:00 08/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Sediment st: NotStopd t0: [12:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 08/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 08/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [12:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20.76 vu: ml t0: [12:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml
t0: [12:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [13:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [13:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [13:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [13:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [13:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 08/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:00:00 08/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [13:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [13:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [13:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20.76 vu: ml t0: [13:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml
t0: [13:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:38:00 08/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [13:38:00 08/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [13:38:00 08/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [13:38:00 08/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [13:38:00 08/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 163 u1: mmHg rs: Final st: NotStopd t0: [13:38:00 08/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd
t0: [13:38:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:38:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [13:38:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [14:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd
t0: [13:38:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:45:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.6 u1: torr st: NotStopd
t0: [09:11:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
id: .9% Normal Saline el: 2 cu: MICU cg: -1 io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [15:00:00 08/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 21.6667 u1: ml/cmH st: NotStopd t0: [15:00:00 08/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [15:00:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [15:00:00 08/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [15:00:00 08/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:00:00 08/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [15:00:00 08/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [15:00:00 08/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 08/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [15:00:00 08/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [15:00:00 08/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [15:00:00 08/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [15:00:00 08/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.1 u1: L/min st: NotStopd t0: [15:00:00 08/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [15:00:00 08/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [15:00:00 08/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:00:00 08/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [15:00:00 08/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [15:00:00 08/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [15:00:00 08/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [15:00:00 08/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:00:00 08/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [15:00:00 08/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [15:00:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [15:00:00 08/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [15:00:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [14:00:00 08/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: Flat in Bed st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: PA line v2: Left Subclavian st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [14:00:00 08/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [14:00:00 08/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [14:00:00 08/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [14:00:00 08/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [14:00:00 08/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [14:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 08/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [14:00:00 08/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [14:00:00 08/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [14:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 08/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 08/09/2016] id: Procedures el: 0 cu: MICU cg: -1 v1: Line Placement st: NotStopd t0: [14:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [14:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 08/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [14:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [14:00:00 08/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [15:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 08/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [15:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [15:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [15:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [15:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [15:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [15:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 08/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [15:00:00 08/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [15:00:00 08/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [15:00:00 08/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [15:00:00 08/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [15:00:00 08/09/2016] id: PCWP el: 0 cu: MICU cg: -1 v1: 36 u1: mmHg st: NotStopd t0: [15:00:00 08/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [15:00:00 08/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [15:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 08/09/2016] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [15:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [15:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [15:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 08/09/2016] tf: [11:00:00 11/09/2016] dt: 4080 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20.76 vu: ml t0: [14:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 80 vu: ml t0: [15:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [15:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 31.14 vu: ml t0: [15:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 80 vu: ml
t0: [14:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:30:00 08/09/2016] id: Albumin Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Total Protein Chemistry el: 0 cu: MICU cg: 1663 v1: 7.2 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 15 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 23 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 75 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Amylase Enzymes el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [03:30:00 08/09/2016] id: Total Protein(6.5-8) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.2 rs: Final st: NotStopd
t0: [17:09:00 08/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32 u1: % rs: Final st: NotStopd t0: [17:09:00 08/09/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: MICU cg: 1663 v1: 63 rs: Final st: NotStopd
t0: [16:00:00 08/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 08/09/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 08/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [17:00:00 08/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [17:00:00 08/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Change in Vitals st: NotStopd t0: [17:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 08/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [17:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [17:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [17:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [17:00:00 08/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [17:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [17:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [17:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [17:00:00 08/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [17:00:00 08/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [17:00:00 08/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 08/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [17:00:00 08/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: PA line v2: Left Subclavian st: NotStopd t0: [17:00:00 08/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [17:00:00 08/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [17:00:00 08/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [17:00:00 08/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [17:00:00 08/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [17:00:00 08/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [17:00:00 08/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [17:00:00 08/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [17:00:00 08/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [17:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [17:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [17:00:00 08/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [17:00:00 08/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 72.3333 u1: mmHg st: NotStopd t0: [17:00:00 08/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [17:00:00 08/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 51 u1: mmHg st: NotStopd t0: [17:00:00 08/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [17:00:00 08/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [17:00:00 08/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 08/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [17:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 08/09/2016] id: RCW el: 0 cu: MICU cg: -1 v1: 4.47372 u1: kg * m st: NotStopd t0: [17:00:00 08/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [17:00:00 08/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [17:00:00 08/09/2016] id: RVSW el: 0 cu: MICU cg: -1 v1: 49.9392 u1: g * m st: NotStopd t0: [17:00:00 08/09/2016] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: CT scan st: NotStopd t0: [17:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [17:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [17:00:00 08/09/2016] id: SVR el: 0 cu: MICU cg: -1 v1: 533.333 u1: ... st: NotStopd t0: [17:00:00 08/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [17:00:00 08/09/2016] id: Stroke Volume el: 0 cu: MICU cg: -1 v1: 71.6667 u1: ml st: NotStopd t0: [17:00:00 08/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [17:00:00 08/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.1 u1: Deg. C st: NotStopd t0: [17:00:00 08/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.2222 u1: Deg. C st: NotStopd t0: [17:00:00 08/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99 u1: Deg. F st: NotStopd t0: [17:00:00 08/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.78 u1: Deg. F st: NotStopd t0: [17:00:00 08/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Sediment st: NotStopd t0: [17:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [17:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:00:00 08/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [17:00:00 08/09/2016] id: C.O.(thermodilution) el: 0 cu: MICU cg: -1 v1: 6.45 u1: L/min st: NotStopd
t0: [16:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [17:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [17:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 20 vu: ml t0: [17:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [17:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml
t0: [17:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 08/09/2016] id: PCWP el: 0 cu: MICU cg: RNC v1: 36 u1: mmHg st: NotStopd t0: [17:00:00 08/09/2016] id: PVR el: 0 cu: MICU cg: RNC v1: 186.047 u1: ... st: NotStopd t0: [17:00:00 08/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: RNC v1: 32 u1: % rs: Manual st: NotStopd t0: [17:00:00 08/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: RNC v1: 9.2 u1: gm/dl rs: Manual st: NotStopd
t0: [17:28:00 08/09/2016] id: BSA el: 1033 cu: MICU cg: -1 v1: 3.04107 u1: m2 t0: [17:28:00 08/09/2016] id: Admit Wt el: 1032 cu: MICU cg: -1 v1: 173 u1: kg t0: [17:28:00 08/09/2016] id: Allergy 1 el: 1020 cu: MICU cg: -1 t0: [17:28:00 08/09/2016] id: Diagnosis/op el: 1023 cu: MICU cg: -1 v1: CVA; CHF PNEUMONIA t0: [17:28:00 08/09/2016] id: Service el: 1026 cu: MICU cg: -1 v1: MED t0: [17:28:00 08/09/2016] id: Admit Ht el: 1034 cu: MICU cg: -1 v1: 71 u1: inches t0: [17:28:00 08/09/2016] id: Readmission el: 1014 cu: MICU cg: -1 t0: [17:28:00 08/09/2016] id: Marital Status el: 1006 cu: MICU cg: -1 v1: M t0: [17:28:00 08/09/2016] id: Religion el: 1000 cu: MICU cg: -1 v1: U t0: [17:28:00 08/09/2016] id: Allergy 2 el: 1021 cu: MICU cg: -1 t0: [17:28:00 08/09/2016] id: Ext el: 1010 cu: MICU cg: -1 t0: [17:28:00 08/09/2016] id: PIN el: 1012 cu: MICU cg: -1 t0: [17:28:00 08/09/2016] id: Allergy 3 el: 1022 cu: MICU cg: -1
t0: [17:00:00 08/09/2016] id: Cardiac Index el: 0 cu: MICU cg: RNC v1: 2.12171 u1: ... st: NotStopd t0: [17:00:00 08/09/2016] id: PVRI el: 0 cu: MICU cg: RNC v1: 566.038 u1: ... st: NotStopd t0: [17:00:00 08/09/2016] id: SVRI el: 0 cu: MICU cg: RNC v1: 1622.64 u1: ... st: NotStopd t0: [17:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RNC v1: 98 u1: % st: NotStopd t0: [17:09:00 08/09/2016] id: Cardiac Index el: 0 cu: MICU cg: RNC v1: 2.89474 u1: ... st: NotStopd t0: [17:09:00 08/09/2016] id: PVRI el: 0 cu: MICU cg: RNC v1: 415.225 u1: ... st: NotStopd t0: [17:09:00 08/09/2016] id: SVRI el: 0 cu: MICU cg: RNC v1: 1190.31 u1: ... st: NotStopd t0: [17:09:00 08/09/2016] id: C.O. (fick) el: 0 cu: MICU cg: RNC v1: 8.8069 u1: L/min st: NotStopd
t0: [18:40:00 08/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 24.0741 u1: ml/cmH st: NotStopd t0: [18:40:00 08/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [18:40:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [18:40:00 08/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [18:40:00 08/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [18:40:00 08/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [18:40:00 08/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [18:40:00 08/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [18:40:00 08/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [18:40:00 08/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [18:40:00 08/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [18:40:00 08/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [18:40:00 08/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [18:40:00 08/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [18:40:00 08/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [18:40:00 08/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [18:40:00 08/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 37 u1: cmH2O st: NotStopd t0: [18:40:00 08/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [18:40:00 08/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [18:40:00 08/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [18:40:00 08/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [18:40:00 08/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [18:40:00 08/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [18:40:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [18:40:00 08/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Tenacious st: NotStopd t0: [18:40:00 08/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [18:40:00 08/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [18:40:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [18:40:00 08/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [18:40:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [18:00:00 08/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [18:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 08/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [18:00:00 08/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [18:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 08/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [18:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [18:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [18:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [19:00:00 08/09/2016] id: IV #1 Reason DC'D el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [19:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [19:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [19:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 08/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [19:00:00 08/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [19:00:00 08/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [19:00:00 08/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [19:00:00 08/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: PA line v2: Left Subclavian st: NotStopd t0: [19:00:00 08/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 08/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [19:00:00 08/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [19:00:00 08/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [19:00:00 08/09/2016] id: IV #1 D/C Date el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [19:00:00 08/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [19:00:00 08/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: RU Post Forearm v2: 20 gauge st: NotStopd t0: [19:00:00 08/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [19:00:00 08/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [19:00:00 08/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 62.6667 u1: mmHg st: NotStopd
t0: [19:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [19:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 20 vu: ml t0: [19:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 83.04 vu: ml t0: [19:00:00 08/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 60 vu: ml t0: [19:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 170 vu: ml
t0: [19:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 08/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 28 u1: mmHg st: NotStopd t0: [19:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [19:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [19:00:00 08/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [19:00:00 08/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [19:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [19:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [19:00:00 08/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [19:00:00 08/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [19:00:00 08/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [19:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 08/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 08/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 120 ap: none
t0: [20:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 08/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [20:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 08/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [20:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 08/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 08/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73.3333 u1: mmHg st: NotStopd t0: [20:00:00 08/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [20:00:00 08/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 72 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [20:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 08/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [20:00:00 08/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [20:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 08/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 08/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 08/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 08/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 08/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 08/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 08/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 08/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:00:00 08/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [20:00:00 08/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [20:00:00 08/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 08/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 08/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 08/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [20:00:00 08/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 08/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 08/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 08/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 08/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 08/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 08/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 08/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 08/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Tenacious st: NotStopd t0: [20:00:00 08/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 08/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 08/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 08/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [20:00:00 08/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 08/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 08/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 08/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [19:00:00 08/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 28.2609 u1: ml/cmH st: NotStopd t0: [19:00:00 08/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [19:00:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [19:00:00 08/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [19:00:00 08/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [19:00:00 08/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3 st: NotStopd t0: [19:00:00 08/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [19:00:00 08/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [19:00:00 08/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [19:00:00 08/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [19:00:00 08/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [19:00:00 08/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 8.85 u1: L/min st: NotStopd t0: [19:00:00 08/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [19:00:00 08/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [19:00:00 08/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 33 u1: cmH2O st: NotStopd t0: [19:00:00 08/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 30 u1: cmH2O st: NotStopd t0: [19:00:00 08/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 08/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [19:00:00 08/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [19:00:00 08/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [19:00:00 08/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [19:00:00 08/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 633 u1: ml/B st: NotStopd t0: [19:00:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [19:00:00 08/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [19:00:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [19:00:00 08/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
tf: [19:00:00 09/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 20 dn: 1 m1: Furosemide v1: 80 u1: mg
t0: [20:00:00 08/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 08/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 08/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 08/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd
t0: [21:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 08/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [21:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [21:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 08/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [21:00:00 08/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [21:00:00 08/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [21:00:00 08/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 72 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [21:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [21:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 08/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [21:00:00 08/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [21:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [21:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [21:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 08/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [22:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 08/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [22:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 08/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 08/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81.6667 u1: mmHg st: NotStopd t0: [22:00:00 08/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [22:00:00 08/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 79 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [22:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 08/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 08/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [22:00:00 08/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [22:00:00 08/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 08/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done
t0: [22:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [22:00:00 08/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [22:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 08/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [23:00:00 08/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 st: D/C'd
t0: [23:00:00 08/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 08/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [23:00:00 08/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 08/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 08/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 08/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 08/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [23:00:00 08/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 08/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [23:00:00 08/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [23:00:00 08/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [23:00:00 08/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 75 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [23:00:00 08/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 08/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 08/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [23:00:00 08/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [23:00:00 08/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 08/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 08/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [23:00:00 08/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 08/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [22:00:00 08/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 08/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 08/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 08/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 08/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 08/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 08/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 09/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [00:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 09/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 09/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 09/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [00:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 09/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 09/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [00:00:00 09/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 09/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [00:00:00 09/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 09/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [00:00:00 09/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 09/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [00:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [00:00:00 09/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 09/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [00:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 76 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [00:00:00 09/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 09/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [00:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 09/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 09/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 09/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Tenacious st: NotStopd t0: [00:00:00 09/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 09/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [00:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [00:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 09/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 09/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 09/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 09/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 09/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [00:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [00:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:30:00 08/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 32.5 u1: ml/cmH st: NotStopd t0: [23:30:00 08/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [23:30:00 08/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [23:30:00 08/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [23:30:00 08/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [23:30:00 08/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3 st: NotStopd t0: [23:30:00 08/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [23:30:00 08/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [23:30:00 08/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [23:30:00 08/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [23:30:00 08/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [23:30:00 08/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 11.1 u1: L/min st: NotStopd t0: [23:30:00 08/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [23:30:00 08/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [23:30:00 08/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 30 u1: cmH2O st: NotStopd t0: [23:30:00 08/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 27 u1: cmH2O st: NotStopd t0: [23:30:00 08/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [23:30:00 08/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [23:30:00 08/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [23:30:00 08/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [23:30:00 08/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [23:30:00 08/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [23:30:00 08/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 640 u1: ml/B st: NotStopd t0: [23:30:00 08/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [23:30:00 08/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [23:30:00 08/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [23:30:00 08/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [00:00:00 09/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd
t0: [01:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [01:00:00 09/09/2016] id: Cardiac Index el: 0 cu: MICU cg: RN v1: 3.19079 u1: ... st: NotStopd t0: [01:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [01:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [01:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [01:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [01:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 72 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [01:00:00 09/09/2016] id: PCWP el: 0 cu: MICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [01:00:00 09/09/2016] id: PVR el: 0 cu: MICU cg: RN v1: 214.433 u1: ... st: NotStopd t0: [01:00:00 09/09/2016] id: PVRI el: 0 cu: MICU cg: RN v1: 652.038 u1: ... st: NotStopd t0: [01:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 09/09/2016] id: RCW el: 0 cu: MICU cg: RN v1: 6.46408 u1: kg * m st: NotStopd t0: [01:00:00 09/09/2016] id: RCWI el: 0 cu: MICU cg: RN v1: 2.125 u1: ... st: NotStopd t0: [01:00:00 09/09/2016] id: RVSW el: 0 cu: MICU cg: RN v1: 75.3032 u1: g * m st: NotStopd t0: [01:00:00 09/09/2016] id: RVSWI el: 0 cu: MICU cg: RN v1: 24.7697 u1: g*m/m2 st: NotStopd t0: [01:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 09/09/2016] id: SVI el: 0 cu: MICU cg: RN v1: 37.1711 u1: ... st: NotStopd t0: [01:00:00 09/09/2016] id: SVR el: 0 cu: MICU cg: RN v1: 354.639 u1: ... st: NotStopd t0: [01:00:00 09/09/2016] id: SVRI el: 0 cu: MICU cg: RN v1: 1078.37 u1: ... st: NotStopd t0: [01:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 09/09/2016] id: Stroke Volume el: 0 cu: MICU cg: RN v1: 112.791 u1: ml st: NotStopd t0: [01:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [01:00:00 09/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [01:00:00 09/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [01:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [01:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 09/09/2016] id: C.O.(thermodilution) el: 0 cu: MICU cg: RN v1: 9.7 u1: L/min st: NotStopd
t0: [01:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [01:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [02:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [02:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [02:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [02:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [02:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [02:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 74 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [02:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [02:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [02:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [02:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [02:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [02:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:15:00 09/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd
t0: [03:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [03:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [03:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [03:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [03:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 78 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [03:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [03:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [03:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [03:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [02:00:00 10/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 3 dn: 1 m1: Furosemide v1: 160 u1: mg
t0: [04:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 09/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [04:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 09/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 09/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 09/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 09/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [04:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 09/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [04:00:00 09/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [04:00:00 09/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 09/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [04:00:00 09/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 09/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [04:00:00 09/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 09/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 09/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [04:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [04:00:00 09/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 09/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [04:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 79 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [04:00:00 09/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 09/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 09/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 09/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 09/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Tenacious st: NotStopd t0: [04:00:00 09/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 09/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [04:00:00 09/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [04:00:00 09/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [04:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [04:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 09/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 09/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 09/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 09/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 09/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [04:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [04:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:49:00 09/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.4 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 9.4 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.1 u1: % rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 230 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4 u1: /mic l rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.4 rs: Final st: NotStopd
t0: [05:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [05:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [05:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [05:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [05:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [05:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 76 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [05:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [05:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [05:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [05:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:49:00 09/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 9.4 u1: mg/dl rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 95 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 9.4 u1: mg/dl rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 95 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [03:49:00 09/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [03:49:00 09/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 rs: Final st: NotStopd
t0: [05:00:00 09/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 150 vu: ml
t0: [06:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [06:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [06:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [06:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [06:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [06:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [06:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [06:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 78 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [06:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [06:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [06:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [06:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [06:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [06:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [06:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 250 vu: ml
t0: [06:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:00:00 09/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 28.2609 u1: ml/cmH st: NotStopd t0: [05:00:00 09/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: -1 v1: PEEP >10 st: NotStopd t0: [05:00:00 09/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 09/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [05:00:00 09/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 09/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [05:00:00 09/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [05:00:00 09/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [05:00:00 09/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [05:00:00 09/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [05:00:00 09/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [05:00:00 09/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [05:00:00 09/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [05:00:00 09/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 12.5 u1: L/min st: NotStopd t0: [05:00:00 09/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 09/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [05:00:00 09/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 33 u1: cmH2O st: NotStopd t0: [05:00:00 09/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [05:00:00 09/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 09/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 5 u1: BPM st: NotStopd t0: [05:00:00 09/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [05:00:00 09/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [05:00:00 09/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 09/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 652 u1: ml/B st: NotStopd t0: [05:00:00 09/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [05:00:00 09/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [05:00:00 09/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [05:00:00 09/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
tf: [05:00:00 10/09/2016] pt: IV Piggyback rt: IV fr: ONCE MR1 fs: 6 dn: 1 m1: Potassium Chloride v1: 60 u1: mEq m2: SW v2: 150 u2: ml tf: [05:00:00 10/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 6 dn: 1 m1: Furosemide v1: 80 u1: mg
t0: [06:03:00 09/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [06:03:00 09/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [06:03:00 09/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [06:03:00 09/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [06:03:00 09/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 82 u1: mmHg rs: Final st: NotStopd t0: [06:03:00 09/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [06:03:00 09/09/2016] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.13 rs: Final st: NotStopd
t0: [07:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 25 u1: mmHg st: NotStopd t0: [07:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [07:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [07:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [07:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 70.3333 u1: mmHg st: NotStopd t0: [07:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [07:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [07:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [07:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [07:00:00 09/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Tenacious st: NotStopd t0: [07:00:00 09/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 36.9 u1: Deg. C st: NotStopd t0: [07:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.42 u1: Deg. F st: NotStopd t0: [07:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [07:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [07:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 180 vu: ml
t0: [07:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [09:00:00 09/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 12.5 u1: mg
t0: [08:00:00 09/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 25 u1: ml/cmH st: NotStopd t0: [08:00:00 09/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 09/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 09/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 09/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [08:00:00 09/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [08:00:00 09/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [08:00:00 09/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 09/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 u1: Deg. C st: NotStopd t0: [08:00:00 09/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [08:00:00 09/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [08:00:00 09/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 09/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 17 u1: cmH2O st: NotStopd t0: [08:00:00 09/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 13.1 u1: L/min st: NotStopd t0: [08:00:00 09/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 09/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [08:00:00 09/09/2016] id: Peak Flow el: 0 cu: MICU cg: -1 u1: L/m st: NotStopd t0: [08:00:00 09/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 36 u1: cmH2O st: NotStopd t0: [08:00:00 09/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [08:00:00 09/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 09/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 7 u1: BPM st: NotStopd t0: [08:00:00 09/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [08:00:00 09/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 09/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [08:00:00 09/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 653 u1: ml/B st: NotStopd t0: [08:00:00 09/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [08:00:00 09/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 09/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [08:00:00 09/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [06:00:00 09/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [07:00:00 09/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [07:00:00 09/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [07:00:00 09/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [07:00:00 09/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [07:00:00 09/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [07:00:00 09/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 09/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 09/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Change in Vitals st: NotStopd t0: [08:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 22 u1: mmHg st: NotStopd t0: [08:00:00 09/09/2016] id: Cardiac Index el: 0 cu: MICU cg: -1 v1: 1.98355 u1: ... st: NotStopd t0: [08:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 09/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 09/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Frequent st: NotStopd t0: [08:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 09/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [08:00:00 09/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [08:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [08:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 09/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 09/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 09/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: PA line v2: Left Subclavian st: NotStopd t0: [08:00:00 09/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 09/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [08:00:00 09/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 09/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 09/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 09/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 09/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 09/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 138 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 78.6667 u1: mmHg st: NotStopd t0: [08:00:00 09/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 09/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [08:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [08:00:00 09/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 09/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 09/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 09/09/2016] id: RCW el: 0 cu: MICU cg: -1 v1: 4.67446 u1: kg * m st: NotStopd t0: [08:00:00 09/09/2016] id: RCWI el: 0 cu: MICU cg: -1 v1: 1.53618 u1: ... st: NotStopd t0: [08:00:00 09/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 09/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 09/09/2016] id: RVSW el: 0 cu: MICU cg: -1 v1: 51.1632 u1: g * m st: NotStopd t0: [08:00:00 09/09/2016] id: RVSWI el: 0 cu: MICU cg: -1 v1: 16.8421 u1: g*m/m2 st: NotStopd t0: [08:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 09/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [08:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 09/09/2016] id: SVI el: 0 cu: MICU cg: -1 v1: 21.7105 u1: ... st: NotStopd t0: [08:00:00 09/09/2016] id: SVR el: 0 cu: MICU cg: -1 v1: 756.219 u1: ... st: NotStopd t0: [08:00:00 09/09/2016] id: SVRI el: 0 cu: MICU cg: -1 v1: 2303.03 u1: ... st: NotStopd t0: [08:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 09/09/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 09/09/2016] id: Stroke Volume el: 0 cu: MICU cg: -1 v1: 65.5435 u1: ml st: NotStopd t0: [08:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [08:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.1 u1: Deg. C st: NotStopd t0: [08:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.78 u1: Deg. F st: NotStopd t0: [08:00:00 09/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 09/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 09/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 09/09/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 09/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Problem st: NotStopd t0: [08:00:00 09/09/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 09/09/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 09/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Very Poor st: NotStopd t0: [08:00:00 09/09/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 10 u1: number st: NotStopd t0: [08:00:00 09/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 09/09/2016] id: C.O.(thermodilution) el: 0 cu: MICU cg: -1 v1: 6.03 u1: L/min st: NotStopd
t0: [08:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [08:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [08:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 50 vu: ml
t0: [08:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [18:00:00 14/10/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 6, 18 dn: 2 m1: Famotidine v1: 20 u1: mg m2: Iso-Osmotic Sodium Chloride v2: 50 u2: ml
t0: [09:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 21 u1: mmHg st: NotStopd t0: [09:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [09:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [09:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [09:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [09:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [09:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 60.3333 u1: mmHg st: NotStopd t0: [09:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 47 u1: mmHg st: NotStopd t0: [09:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [09:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [09:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [09:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [09:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.1 u1: Deg. C st: NotStopd t0: [09:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.78 u1: Deg. F st: NotStopd t0: [09:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [10:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd
t0: [08:00:00 09/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 60 vu: ml t0: [09:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [09:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [09:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 35 vu: ml t0: [10:00:00 09/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 50 vu: ml t0: [10:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [10:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [10:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
t0: [09:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 09/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 180 ap: none
tf: [09:00:00 10/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Furosemide v1: 100 u1: mg
t0: [08:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: Flat in Bed st: NotStopd t0: [08:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [08:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [09:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [09:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [09:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [09:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [10:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [10:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [10:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [10:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [10:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [10:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [10:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 64.3333 u1: mmHg st: NotStopd t0: [10:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 49 u1: mmHg st: NotStopd t0: [10:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [10:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [10:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [10:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [10:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.1 u1: Deg. C st: NotStopd t0: [10:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.78 u1: Deg. F st: NotStopd t0: [10:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:23:00 09/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 151 rs: Final st: NotStopd t0: [10:23:00 09/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [10:23:00 09/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 151 rs: Final st: NotStopd t0: [10:23:00 09/09/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: MICU cg: 1663 v1: 66 rs: Final st: NotStopd t0: [10:23:00 09/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd
t0: [10:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 22 u1: mmHg st: NotStopd t0: [10:00:00 09/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: -1 v1: 9.8 u1: gm/dl rs: Manual st: NotStopd
t0: [10:00:00 09/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd
t0: [10:00:00 09/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg rs: Manual st: NotStopd
t0: [09:00:00 09/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg rs: Manual st: NotStopd t0: [10:00:00 09/09/2016] id: CaO2 el: 0 cu: MICU cg: -1 v1: 13.1236 u1: ml/dl st: NotStopd t0: [10:00:00 09/09/2016] id: Cardiac Index el: 0 cu: MICU cg: -1 v1: 2.96053 u1: ... st: NotStopd t0: [10:00:00 09/09/2016] id: DO2I el: 0 cu: MICU cg: -1 v1: 384.8 u1: ml/m/m st: NotStopd t0: [10:00:00 09/09/2016] id: SVR el: 0 cu: MICU cg: -1 v1: 373.333 u1: ... st: NotStopd t0: [10:00:00 09/09/2016] id: SVRI el: 0 cu: MICU cg: -1 v1: 1135.14 u1: ... st: NotStopd t0: [10:00:00 09/09/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: MICU cg: -1 v1: 66 rs: Manual st: NotStopd t0: [10:00:00 09/09/2016] id: SaO2 ABG's el: 0 cu: MICU cg: -1 v1: 98 u1: % rs: Manual st: NotStopd t0: [10:00:00 09/09/2016] id: C.O. (fick) el: 0 cu: MICU cg: -1 v1: 9.0428 u1: L/min st: NotStopd t0: [11:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 23 u1: mmHg st: NotStopd t0: [11:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [11:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [11:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [11:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [11:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 68.6667 u1: mmHg st: NotStopd t0: [11:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 53 u1: mmHg st: NotStopd t0: [11:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [11:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [11:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [11:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [11:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.1 u1: Deg. C st: NotStopd t0: [11:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.78 u1: Deg. F st: NotStopd t0: [11:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 09/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [11:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [11:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [11:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 45 vu: ml
t0: [23:00:00 09/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 09/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 161.52 cv: 161.52 ap: none t0: [23:00:00 09/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 161.52 cv: 2126.48 ap: none t0: [23:00:00 09/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 161.52 cv: 2306.48 ap: none t0: [23:00:00 09/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 1605 ap: none t0: [23:00:00 09/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 161.52 cv: -798.52 ap: none t0: [23:00:00 09/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 3105 ap: none t0: [23:00:00 09/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 161.52 cv: 1223.08 ap: none
t0: [12:00:00 09/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 27.0833 u1: ml/cmH st: NotStopd t0: [12:00:00 09/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 09/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 09/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 09/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [12:00:00 09/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [12:00:00 09/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [12:00:00 09/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 09/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 09/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [12:00:00 09/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [12:00:00 09/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 09/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [12:00:00 09/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 13.3 u1: L/min st: NotStopd t0: [12:00:00 09/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 09/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [12:00:00 09/09/2016] id: Peak Flow el: 0 cu: MICU cg: -1 u1: L/m st: NotStopd t0: [12:00:00 09/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 34 u1: cmH2O st: NotStopd t0: [12:00:00 09/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 28 u1: cmH2O st: NotStopd t0: [12:00:00 09/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 09/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 7 u1: BPM st: NotStopd t0: [12:00:00 09/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [12:00:00 09/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [12:00:00 09/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [12:00:00 09/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [12:00:00 09/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [12:00:00 09/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 09/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [12:00:00 09/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [12:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 09/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Change in Vitals st: NotStopd t0: [12:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 23 u1: mmHg st: NotStopd t0: [12:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 09/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 09/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [12:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 09/09/2016] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [12:00:00 09/09/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 09/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [12:00:00 09/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 09/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Clamped v2: Bilious st: NotStopd t0: [12:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [12:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 09/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [12:00:00 09/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 09/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: PA line v2: Left Subclavian st: NotStopd t0: [12:00:00 09/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 09/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [12:00:00 09/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 09/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [12:00:00 09/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Poor st: NotStopd t0: [12:00:00 09/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 09/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 09/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 09/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [12:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 53.3333 u1: mmHg st: NotStopd t0: [12:00:00 09/09/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 09/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Disoriented st: NotStopd t0: [12:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 49 u1: mmHg st: NotStopd t0: [12:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [12:00:00 09/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 09/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [12:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 09/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 09/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 09/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 09/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [12:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 09/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [12:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [12:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 36.8 u1: Deg. C st: NotStopd t0: [12:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.24 u1: Deg. F st: NotStopd t0: [12:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 09/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 09/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 09/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 09/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 09/09/2016] id: Bath el: 1 cu: MICU cg: -1 v1: Done t0: [12:00:00 09/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 09/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd
t0: [12:00:00 09/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 50 vu: ml t0: [12:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [12:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [12:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 15 vu: ml
t0: [11:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 24 u1: mmHg st: NotStopd t0: [13:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [13:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [13:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [13:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [13:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [13:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [13:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [13:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [13:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [13:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [13:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [13:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [13:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 36.9 u1: Deg. C st: NotStopd t0: [13:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.42 u1: Deg. F st: NotStopd t0: [13:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 09/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 50 vu: ml t0: [13:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [13:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [13:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
t0: [13:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 09/09/2016] id: ETT Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [14:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 22 u1: mmHg st: NotStopd t0: [14:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [14:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [14:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [14:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [14:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [14:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [14:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 71.6667 u1: mmHg st: NotStopd t0: [14:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 54 u1: mmHg st: NotStopd t0: [14:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [14:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [14:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [14:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [14:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [14:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [14:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.1 u1: Deg. C st: NotStopd t0: [14:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.78 u1: Deg. F st: NotStopd t0: [14:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [14:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [14:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 100 vu: ml
t0: [14:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 25 u1: mmHg st: NotStopd t0: [15:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [15:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [15:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [15:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [15:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [15:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [15:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 71.3333 u1: mmHg st: NotStopd t0: [15:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [15:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [15:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [15:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [15:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [15:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.3 u1: Deg. C st: NotStopd t0: [15:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 99.14 u1: Deg. F st: NotStopd t0: [15:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 09/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [15:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [15:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [15:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 25 vu: ml
t0: [15:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [14:00:00 10/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Furosemide v1: 160 u1: mg
t0: [15:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: Flat in Bed st: NotStopd t0: [15:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Fair st: NotStopd t0: [15:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [15:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [15:00:00 09/09/2016] id: Procedures el: 0 cu: MICU cg: -1 v1: TEE st: NotStopd t0: [15:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [16:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 09/09/2016] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 09/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Change in Vitals st: NotStopd t0: [16:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 28 u1: mmHg st: NotStopd t0: [16:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 09/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [16:00:00 09/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [16:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [16:00:00 09/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [16:00:00 09/09/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 09/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [16:00:00 09/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 09/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 09/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Clamped v2: Bilious st: NotStopd t0: [16:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [16:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 09/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: PICC line v2: Left Brachial st: NotStopd t0: [16:00:00 09/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 09/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: PA line v2: Left Subclavian st: NotStopd t0: [16:00:00 09/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 24 st: NotStopd t0: [16:00:00 09/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 09/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [16:00:00 09/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 09/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 09/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 09/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 09/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [16:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 61.3333 u1: mmHg st: NotStopd t0: [16:00:00 09/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 09/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [16:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [16:00:00 09/09/2016] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 09/09/2016] id: Pain Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 09/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 09/09/2016] id: Procedures el: 0 cu: MICU cg: -1 v1: Thoracentesis st: NotStopd t0: [16:00:00 09/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 09/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 09/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 09/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 09/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [16:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [16:00:00 09/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [16:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [16:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.2 u1: Deg. C st: NotStopd t0: [16:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.96 u1: Deg. F st: NotStopd t0: [16:00:00 09/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 09/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 09/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 09/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 09/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd
t0: [16:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [16:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [16:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 15 vu: ml
t0: [16:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [18:00:00 09/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 37.5 u1: mg
t0: [14:40:00 09/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [14:40:00 09/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd
t0: [16:00:00 09/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 60 vu: ml
t0: [17:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [17:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [17:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [17:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [17:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [17:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 100 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [17:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 62.6667 u1: mmHg st: NotStopd t0: [17:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 45 u1: mmHg st: NotStopd t0: [17:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [17:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [17:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [17:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [17:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.1 u1: Deg. C st: NotStopd t0: [17:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.78 u1: Deg. F st: NotStopd t0: [17:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [17:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [17:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [17:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: Flat in Bed st: NotStopd t0: [16:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [16:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [17:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 21 u1: mmHg st: NotStopd t0: [17:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [17:00:00 09/09/2016] id: PCWP el: 0 cu: MICU cg: -1 v1: 24 u1: mmHg st: NotStopd t0: [17:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [17:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [17:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd
t0: [17:00:00 09/09/2016] tf: [08:00:00 18/09/2016] dt: 12420 id: Pleural fluid. el: 1 cu: MICU cg: -1 vo: 1500 vu: ml
t0: [17:00:00 09/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 26 u1: ml/cmH st: NotStopd t0: [17:00:00 09/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 09/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 09/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 09/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [17:00:00 09/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [17:00:00 09/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [17:00:00 09/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [17:00:00 09/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [17:00:00 09/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [17:00:00 09/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [17:00:00 09/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [17:00:00 09/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [17:00:00 09/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 10.9 u1: L/min st: NotStopd t0: [17:00:00 09/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 09/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [17:00:00 09/09/2016] id: Peak Flow el: 0 cu: MICU cg: -1 u1: L/m st: NotStopd t0: [17:00:00 09/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 35 u1: cmH2O st: NotStopd t0: [17:00:00 09/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [17:00:00 09/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [17:00:00 09/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 4 u1: BPM st: NotStopd t0: [17:00:00 09/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [17:00:00 09/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [17:00:00 09/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 09/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [17:00:00 09/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [17:00:00 09/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 652 u1: ml/B st: NotStopd t0: [17:00:00 09/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [17:00:00 09/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [17:00:00 09/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [17:00:00 09/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [18:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [18:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 26 u1: mmHg st: NotStopd t0: [18:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [18:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [18:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [18:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [18:00:00 09/09/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Fam Talked to MD st: NotStopd t0: [18:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 90 degrees st: NotStopd t0: [18:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [18:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [18:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 107 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [18:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 56.3333 u1: mmHg st: NotStopd t0: [18:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 50 u1: mmHg st: NotStopd t0: [18:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [18:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [18:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 09/09/2016] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [18:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [18:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [18:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [18:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [18:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [18:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.2 u1: Deg. C st: NotStopd t0: [18:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.96 u1: Deg. F st: NotStopd t0: [18:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [18:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 09/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd
t0: [18:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [18:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [18:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml
t0: [18:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:02:00 09/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 131 rs: Final st: NotStopd t0: [18:02:00 09/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 131 rs: Final st: NotStopd t0: [18:02:00 09/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30 u1: % rs: Final st: NotStopd
t0: [18:00:00 09/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: -1 v1: 9.8 u1: gm/dl rs: Manual st: NotStopd t0: [18:00:00 09/09/2016] id: SaO2 ABG's el: 0 cu: MICU cg: -1 v1: 99 u1: % rs: Manual st: NotStopd
t0: [18:00:00 09/09/2016] id: Cardiac Index el: 0 cu: MICU cg: -1 v1: 3.28947 u1: ... st: NotStopd t0: [18:00:00 09/09/2016] id: SVR el: 0 cu: MICU cg: -1 v1: 240 u1: ... st: NotStopd t0: [18:00:00 09/09/2016] id: SVRI el: 0 cu: MICU cg: -1 v1: 729.483 u1: ... st: NotStopd t0: [18:00:00 09/09/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: MICU cg: -1 v1: 70 rs: Manual st: NotStopd t0: [18:00:00 09/09/2016] id: C.O. (fick) el: 0 cu: MICU cg: -1 v1: 9.97826 u1: L/min st: NotStopd
t0: [19:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: -1 v1: 21 u1: mmHg st: NotStopd t0: [19:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [19:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [19:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [19:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [19:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 108 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [19:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 61.3333 u1: mmHg st: NotStopd t0: [19:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 v1: 47 u1: mmHg st: NotStopd t0: [19:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [19:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [19:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [19:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Blood st: NotStopd t0: [19:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 v1: 37.2 u1: Deg. C st: NotStopd t0: [19:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 v1: 98.96 u1: Deg. F st: NotStopd t0: [19:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [19:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 41.52 vu: ml t0: [19:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml
t0: [19:00:00 09/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:40:00 09/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 126 rs: Final st: NotStopd t0: [14:40:00 09/09/2016] id: Total Protein Chemistry el: 0 cu: MICU cg: 1663 v1: 7.3 rs: Final st: NotStopd t0: [14:40:00 09/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 126 rs: Final st: NotStopd t0: [14:40:00 09/09/2016] id: LDH Enzymes el: 0 cu: MICU cg: 1663 v1: 259 rs: Final st: NotStopd t0: [14:40:00 09/09/2016] id: Total Protein(6.5-8) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.3 rs: Final st: NotStopd
t0: [18:35:00 09/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 110 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 110 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [18:35:00 09/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [20:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 09/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [20:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 09/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 09/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 09/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 09/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 09/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [20:00:00 09/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 09/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 09/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [20:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [20:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 09/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:00:00 09/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [20:00:00 09/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [20:00:00 09/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 09/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 09/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 09/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 09/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [20:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [20:00:00 09/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 09/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [20:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 74 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [20:00:00 09/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 09/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 09/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 09/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 09/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 09/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 09/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [20:00:00 09/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 09/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [20:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [20:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [20:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 09/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 09/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 09/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 09/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 09/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [20:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 09/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml
t0: [21:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [21:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [21:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [21:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [21:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 44 u1: mmHg st: NotStopd t0: [21:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 65 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [21:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 86 u1: % st: NotStopd t0: [21:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [21:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [21:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [21:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [21:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 09/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 30.9524 u1: ml/cmH st: NotStopd t0: [21:00:00 09/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:00:00 09/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 09/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:00:00 09/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 09/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [21:00:00 09/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [21:00:00 09/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 09/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [21:00:00 09/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [21:00:00 09/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [21:00:00 09/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [21:00:00 09/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [21:00:00 09/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.99 u1: L/min st: NotStopd t0: [21:00:00 09/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 09/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [21:00:00 09/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [21:00:00 09/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [21:00:00 09/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [21:00:00 09/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [21:00:00 09/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [21:00:00 09/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:00:00 09/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 09/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 549 u1: ml/B st: NotStopd t0: [21:00:00 09/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [21:00:00 09/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 09/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [21:00:00 09/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 09/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [22:00:00 09/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 09/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 09/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [22:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 09/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 09/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [22:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [22:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [22:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 58 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [22:00:00 09/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 09/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 09/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 09/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 09/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [22:00:00 09/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 09/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 09/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 09/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 09/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [22:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [22:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [22:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [22:00:00 09/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [21:00:00 09/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [22:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [22:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 09/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
tf: [21:00:00 09/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 50 u1: mg tf: [06:00:00 10/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 62.5 u1: mg tf: [21:00:00 10/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 22 dn: 1 m1: Chlorothiazide Sodium v1: 250 u1: mg m2: D5W v2: 50 u2: ml tf: [21:00:00 10/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 22 dn: 1 m1: Furosemide v1: 120 u1: mg m2: D5W v2: 50 u2: ml tf: [21:00:00 10/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 22 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [21:00:00 10/09/2016] pt: Unit Dose rt: PO fr: ONCE fs: 22 dn: 1 m1: Captopril v1: 12.5 u1: mg
t0: [23:00:00 09/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 09/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [23:00:00 09/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 09/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 09/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 09/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 09/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [23:00:00 09/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 09/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [23:00:00 09/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 55.3333 u1: mmHg st: NotStopd t0: [23:00:00 09/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 42 u1: mmHg st: NotStopd t0: [23:00:00 09/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 63 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [23:00:00 09/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 09/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 09/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 09/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [23:00:00 09/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [23:00:00 09/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [23:00:00 09/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 09/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [23:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 09/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 09/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [23:00:00 09/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 10/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [00:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 10/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 10/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 10/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 10/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 10/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 10/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 10/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [00:00:00 10/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [00:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 10/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 10/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [00:00:00 10/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 10/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [00:00:00 10/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 10/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 10/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 10/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 10/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 10/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 10/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [00:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 10/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 10/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [00:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 70 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [00:00:00 10/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 10/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 10/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 10/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 10/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 10/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 10/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 10/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 10/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 10/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [00:00:00 10/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [00:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [00:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [00:00:00 10/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 10/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 10/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 10/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 10/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 10/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [00:00:00 10/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 10/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [00:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 360 vu: ml
t0: [00:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:00:00 10/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 30.9524 u1: ml/cmH st: NotStopd t0: [01:00:00 10/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [01:00:00 10/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 10/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [01:00:00 10/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:00:00 10/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [01:00:00 10/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [01:00:00 10/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 10/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [01:00:00 10/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [01:00:00 10/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [01:00:00 10/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:00:00 10/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [01:00:00 10/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.47 u1: L/min st: NotStopd t0: [01:00:00 10/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 10/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [01:00:00 10/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [01:00:00 10/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [01:00:00 10/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [01:00:00 10/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [01:00:00 10/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [01:00:00 10/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:00:00 10/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [01:00:00 10/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [01:00:00 10/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [01:00:00 10/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 562 u1: ml/B st: NotStopd t0: [01:00:00 10/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [01:00:00 10/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 10/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [01:00:00 10/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [01:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [01:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [01:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 47 u1: mmHg st: NotStopd t0: [01:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 71 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [01:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [01:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [01:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [01:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [02:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [02:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [02:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [02:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [02:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 44 u1: mmHg st: NotStopd t0: [02:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 67 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [02:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 10/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [02:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [02:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [02:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [02:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [01:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [02:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [02:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [01:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [03:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [03:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [03:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [03:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [03:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 76 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [03:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [03:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [03:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [03:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [03:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 260 vu: ml
t0: [03:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 10/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 10/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [04:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 10/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 10/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 10/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 10/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 10/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 10/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 10/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 10/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [04:00:00 10/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [04:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 10/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [04:00:00 10/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [04:00:00 10/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 10/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [04:00:00 10/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 10/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 10/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 10/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 10/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 10/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 10/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [04:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 10/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 10/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [04:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 75 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [04:00:00 10/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 10/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 10/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 10/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 10/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 10/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 10/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 10/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 10/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 10/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 10/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [04:00:00 10/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 10/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [04:00:00 10/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [04:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [04:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [04:00:00 10/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 10/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 10/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 10/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 10/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 10/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [04:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:13:00 10/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.6 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 10.6 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.4 u1: % rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 273 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.11 u1: /mic l rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.6 rs: Final st: NotStopd
t0: [04:13:00 10/09/2016] id: PT el: 0 cu: MICU cg: 1663 v1: 15.2 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 105.6 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 15.2 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 105.6 rs: Final st: NotStopd
t0: [04:13:00 10/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 118 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4.9 u1: mEq/L rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 98 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 118 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.9 u1: mEq/L rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [05:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [05:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [05:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [05:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [05:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [05:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 69 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [05:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [05:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [05:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [05:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [05:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [05:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [05:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:13:00 10/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 22 rs: Final st: NotStopd t0: [04:13:00 10/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 22 rs: Final st: NotStopd
t0: [05:00:00 10/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 29.5455 u1: ml/cmH st: NotStopd t0: [05:00:00 10/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [05:00:00 10/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 10/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 10/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 10/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 10/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [05:00:00 10/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [05:00:00 10/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 10/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:00:00 10/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [05:00:00 10/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [05:00:00 10/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [05:00:00 10/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.56 u1: L/min st: NotStopd t0: [05:00:00 10/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 10/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 10/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [05:00:00 10/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [05:00:00 10/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [05:00:00 10/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [05:00:00 10/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [05:00:00 10/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:00:00 10/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 10/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [05:00:00 10/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [05:00:00 10/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [05:00:00 10/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 10/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [05:00:00 10/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [06:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [06:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [06:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [06:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [06:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [06:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [06:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 78 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [06:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 10/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [06:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [06:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [06:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [06:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [06:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 260 vu: ml
t0: [06:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:50:00 10/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [06:50:00 10/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [06:50:00 10/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [06:50:00 10/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [06:50:00 10/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [06:50:00 10/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [07:00:00 10/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32 u1: % rs: Final st: NotStopd
tf: [10:00:00 13/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 100 u1: mg
t0: [08:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [08:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [08:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 10/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 10/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 10/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 10/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [08:00:00 10/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [08:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 10/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 10/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [08:00:00 10/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 10/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [08:00:00 10/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 10/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 10/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 10/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 10/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 10/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 10/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 10/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [08:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [08:00:00 10/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 10/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [08:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 72 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [08:00:00 10/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 10/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 10/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 10/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 10/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 10/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 10/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 10/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [08:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [08:00:00 10/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 10/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 10/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 10/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 10/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 10/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [08:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [08:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 83.04 vu: ml t0: [08:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 500 vu: ml
t0: [08:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 10/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 3300 ap: none
t0: [08:00:00 10/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 27.0833 u1: ml/cmH st: NotStopd t0: [08:00:00 10/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 10/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [08:00:00 10/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [08:00:00 10/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [08:00:00 10/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 10/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 10/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [08:00:00 10/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [08:00:00 10/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 10/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 8.9 u1: L/min st: NotStopd t0: [08:00:00 10/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [08:00:00 10/09/2016] id: Peak Flow el: 0 cu: MICU cg: -1 u1: L/m st: NotStopd t0: [08:00:00 10/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 34 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 10/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 10/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 10/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 10/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 10/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 10/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 10/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 636 u1: ml/B st: NotStopd t0: [08:00:00 10/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [08:00:00 10/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 10/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [08:00:00 10/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 10/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd
t0: [08:30:00 10/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [08:30:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20.76 vu: ml t0: [08:30:00 10/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [08:30:00 10/09/2016] tf: [08:00:00 18/09/2016] dt: 11490 id: Gastric Oral Gastric el: 1 cu: MICU cg: RN vo: 10 vu: ml
t0: [23:00:00 10/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 10/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 71.52 cv: 71.52 ap: none t0: [23:00:00 10/09/2016] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN cv: 10 ap: none t0: [23:00:00 10/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 61.52 cv: 1576.48 ap: none t0: [23:00:00 10/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 71.52 cv: 1758.98 ap: none t0: [23:00:00 10/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 100 ap: none t0: [23:00:00 10/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 71.52 cv: -1551.02 ap: none t0: [23:00:00 10/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 3310 ap: none t0: [23:00:00 10/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 71.52 cv: -327.939 ap: none
t0: [06:30:00 10/09/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: MICU cg: RN v1: 69 rs: Manual st: NotStopd
t0: [09:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [09:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [09:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [09:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [09:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 72 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [09:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [09:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [09:00:00 10/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [09:00:00 10/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [09:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.96 u1: Deg. F st: NotStopd
t0: [09:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:30:00 10/09/2016] id: Cardiac Index el: 0 cu: MICU cg: 1663 v1: 3.25658 u1: ... st: NotStopd t0: [06:30:00 10/09/2016] id: C.O. (fick) el: 0 cu: MICU cg: 1663 v1: 9.92934 u1: L/min st: NotStopd t0: [06:50:00 10/09/2016] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 13.537 u1: ml/dl st: NotStopd t0: [06:50:00 10/09/2016] id: DO2I el: 0 cu: MICU cg: 1663 v1: 456.4 u1: ml/m/m st: NotStopd t0: [06:50:00 10/09/2016] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 97 u1: % rs: Final st: NotStopd
t0: [09:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [09:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [10:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [10:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [10:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [10:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 41 u1: mmHg st: NotStopd t0: [10:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 62 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [10:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [10:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [10:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [11:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [11:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [11:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [11:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 10/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [11:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 10/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 10/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [11:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [11:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 48 u1: mmHg st: NotStopd t0: [11:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 70 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [11:00:00 10/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: None/Remarks st: NotStopd t0: [11:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 10/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [11:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [11:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [11:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [11:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 10/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [11:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 10/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [11:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [11:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [11:00:00 10/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [11:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 10/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [11:00:00 10/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [11:00:00 10/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [11:00:00 10/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [11:00:00 10/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [11:00:00 10/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [11:00:00 10/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [10:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [20:00:00 24/10/2016] pt: Unit Dose rt: SC fr: Q8H fs: 11, 19, 3 dn: 3 m1: Heparin v1: 5000 u1: UNIT
t0: [12:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [12:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [12:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [12:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [12:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [12:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [12:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 76 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [12:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 10/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 10/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [12:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [12:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [12:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 40 vu: ml t0: [12:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 145.32 vu: ml t0: [12:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [12:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 10/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 28.2609 u1: ml/cmH st: NotStopd t0: [12:00:00 10/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 10/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 10/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [12:00:00 10/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [12:00:00 10/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [12:00:00 10/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 10/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 10/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [12:00:00 10/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [12:00:00 10/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 10/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 11.2 u1: L/min st: NotStopd t0: [12:00:00 10/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [12:00:00 10/09/2016] id: Peak Flow el: 0 cu: MICU cg: -1 u1: L/m st: NotStopd t0: [12:00:00 10/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 33 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 10/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 4 u1: BPM st: NotStopd t0: [12:00:00 10/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [12:00:00 10/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [12:00:00 10/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 10/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 627 u1: ml/B st: NotStopd t0: [12:00:00 10/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [12:00:00 10/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 10/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [12:00:00 10/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [13:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [13:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [13:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [13:00:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [13:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [13:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 78 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [13:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [13:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [13:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [13:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [13:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:30:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:30:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [13:30:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:30:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [13:30:00 10/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [13:30:00 10/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [13:30:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [13:30:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 80 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [13:30:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [13:30:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [13:30:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:30:00 10/09/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Line Placement st: NotStopd t0: [13:30:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:30:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [13:30:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [13:30:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [13:30:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
io: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ra: 10 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 id: TF Residual el: 1 cu: MICU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [14:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [14:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [14:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [14:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 78 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [14:00:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:00:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [14:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [14:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [14:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 10/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [14:45:00 10/09/2016] tf: [16:00:00 10/09/2016] dt: 75 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [14:45:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 17.5 vu: ml t0: [14:45:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 17.5 vu: ml t0: [14:45:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 72.66 vu: ml t0: [14:45:00 10/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 0 vu: ml nb: 1
t0: [15:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [15:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [15:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [15:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 10/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [15:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [15:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [15:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 76 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [15:00:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [15:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [15:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [15:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [15:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [15:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [15:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 2.5 vu: ml t0: [15:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10.38 vu: ml t0: [15:00:00 10/09/2016] tf: [00:00:00 12/09/2016] dt: 1980 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 2.5 vu: ml t0: [15:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [15:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 10/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 10/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [13:00:00 10/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [13:00:00 10/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [14:00:00 10/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 10/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [14:00:00 10/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 10/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [14:00:00 10/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [14:00:00 10/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [16:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [16:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 10/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 10/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [16:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 10/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 10/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 10/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 10/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 10/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 10/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [16:00:00 10/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [16:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 10/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 10/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 10/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 10/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 10/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 10/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 10/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 10/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 10/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 10/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 10/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [16:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 76 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [16:00:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:00:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [16:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 10/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 10/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 10/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 10/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 10/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 10/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 10/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 10/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [16:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [16:00:00 10/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 10/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 10/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 10/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 10/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 10/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 10/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 10/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 10/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 10/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [16:00:00 10/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [16:00:00 10/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [16:00:00 10/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 10 vu: ml t0: [16:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [16:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 10/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [16:00:00 10/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [16:00:00 10/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 25 u1: ml/cmH st: NotStopd t0: [16:00:00 10/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 10/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 10/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 10/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [16:00:00 10/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [16:00:00 10/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [16:00:00 10/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 10/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 10/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [16:00:00 10/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [16:00:00 10/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 10/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [16:00:00 10/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 9.44 u1: L/min st: NotStopd t0: [16:00:00 10/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 10/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [16:00:00 10/09/2016] id: Peak Flow el: 0 cu: MICU cg: -1 u1: L/m st: NotStopd t0: [16:00:00 10/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 36 u1: cmH2O st: NotStopd t0: [16:00:00 10/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 33 u1: cmH2O st: NotStopd t0: [16:00:00 10/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 10/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 2 u1: BPM st: NotStopd t0: [16:00:00 10/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [16:00:00 10/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:00:00 10/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 10/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Tenacious st: NotStopd t0: [16:00:00 10/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 10/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 612 u1: ml/B st: NotStopd t0: [16:00:00 10/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [16:00:00 10/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [16:00:00 10/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [16:00:00 10/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [17:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 10/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [17:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [17:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [17:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 10/09/2016] id: PAP Mean el: 0 cu: MICU cg: RN v1: 48 u1: mmHg st: NotStopd t0: [17:00:00 10/09/2016] id: PAP S/D el: 0 cu: MICU cg: RN v1: 69 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [17:00:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [17:00:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 44 u1: mmHg st: NotStopd t0: [17:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 10/09/2016] id: Temperature C el: 0 cu: MICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [17:00:00 10/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [17:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [17:00:00 10/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 10 vu: ml t0: [17:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [17:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [18:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [18:00:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [18:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 10/09/2016] id: Procedures el: 0 cu: MICU cg: RN st: NotStopd t0: [18:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 10/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 121 rs: Manual st: NotStopd
t0: [18:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [19:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [19:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [19:00:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [19:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [19:00:00 10/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [19:00:00 10/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [19:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [19:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [19:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 83.04 vu: ml t0: [19:00:00 10/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 20 vu: ml t0: [19:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [19:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 10/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 10/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 10/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 10/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 10/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 10/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 10/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 10/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [20:00:00 10/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [20:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [20:00:00 10/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 10/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 10/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 10/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 10/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 10/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 10/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 10/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [20:00:00 10/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 10/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 10/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 10/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 10/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 10/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 10/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Tenacious st: NotStopd t0: [20:00:00 10/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 10/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 10/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 10/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [20:00:00 10/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [20:00:00 10/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 10/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [20:00:00 10/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 10/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 10/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 10/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [20:00:00 10/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 10 vu: ml
t0: [20:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 10/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 29.5455 u1: ml/cmH st: NotStopd t0: [20:00:00 10/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [20:00:00 10/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 10/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 10/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 10/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 10/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [20:00:00 10/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:00:00 10/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 10/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 10/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 10/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [20:00:00 10/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 10/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 10/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.2 u1: L/min st: NotStopd t0: [20:00:00 10/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 10/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 10/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [20:00:00 10/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [20:00:00 10/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 10/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [20:00:00 10/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:00:00 10/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 10/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 10/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [20:00:00 10/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [20:00:00 10/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 10/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 10/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [21:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [21:00:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [21:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 10/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [22:00:00 10/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 10/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [22:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 10/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 10/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 10/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 10/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 10/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 10/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 10/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 10/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [22:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [21:00:00 10/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 10 vu: ml t0: [22:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [22:00:00 10/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 10 vu: ml t0: [22:00:00 10/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [21:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 10/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Tenacious st: NotStopd t0: [22:00:00 10/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [23:00:00 10/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 10/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 10/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 10/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 10/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 10/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [23:00:00 10/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 10/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:00:00 10/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [23:00:00 10/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 10/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 10/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 10/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Tenacious st: NotStopd t0: [23:00:00 10/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [23:00:00 10/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 10/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 10/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [23:00:00 10/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 10 vu: ml
t0: [23:00:00 10/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 10/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 10 cv: 82.5 ap: none
t0: [21:54:00 10/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.2 u1: % rs: Final st: NotStopd t0: [21:54:00 10/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 237 rs: Final st: NotStopd
t0: [21:54:00 10/09/2016] id: PT el: 0 cu: MICU cg: 1663 v1: 14 rs: Final st: NotStopd t0: [21:54:00 10/09/2016] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [21:54:00 10/09/2016] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 26.1 rs: Final st: NotStopd t0: [21:54:00 10/09/2016] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [21:54:00 10/09/2016] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14 rs: Final st: NotStopd t0: [21:54:00 10/09/2016] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 26.1 rs: Final st: NotStopd
t0: [00:00:00 11/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 29.5455 u1: ml/cmH st: NotStopd t0: [00:00:00 11/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 11/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 11/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 11/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 11/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 13.8 st: NotStopd t0: [00:00:00 11/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [00:00:00 11/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 11/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [00:00:00 11/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 11/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [00:00:00 11/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 11/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 11/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.1 u1: L/min st: NotStopd t0: [00:00:00 11/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 11/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 11/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [00:00:00 11/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [00:00:00 11/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 11/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [00:00:00 11/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [00:00:00 11/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 11/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:00:00 11/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [00:00:00 11/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [00:00:00 11/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 11/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 11/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 11/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 11/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 11/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 11/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 11/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 11/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 11/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 11/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 11/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 11/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 11/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 11/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [00:00:00 11/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [00:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 11/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 11/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 11/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 11/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [00:00:00 11/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [00:00:00 11/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [00:00:00 11/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 11/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 11/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 11/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 11/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 11/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 11/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 11/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 11/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 11/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [00:00:00 11/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 11/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 11/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [00:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 11/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 11/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 11/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 11/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 11/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 11/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 11/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 11/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 11/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 11/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 11/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [00:00:00 11/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [00:00:00 11/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 11/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Pink v2: Clear st: NotStopd t0: [00:00:00 11/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 11/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 11/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: DOne t0: [00:00:00 11/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 11/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [01:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [01:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [01:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 11/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [02:00:00 11/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 11/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [02:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [02:00:00 11/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 11/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 11/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 11/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 11/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 11/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 11/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 11/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Tenacious st: NotStopd t0: [02:00:00 11/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [02:00:00 11/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [02:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [00:00:00 11/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 20 vu: ml t0: [01:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [01:00:00 11/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 20 vu: ml t0: [02:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [02:00:00 11/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 20 vu: ml
t0: [00:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 11/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [03:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [03:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [03:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [03:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 11/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 11/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 11/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 11/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 11/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [04:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 11/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 11/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 11/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 11/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 11/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [04:00:00 11/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [04:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 11/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [04:00:00 11/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 11/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [04:00:00 11/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [04:00:00 11/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [04:00:00 11/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 11/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 11/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 11/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 11/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 11/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 11/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 11/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 11/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 11/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [04:00:00 11/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 11/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 11/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 11/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 11/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 11/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 11/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 11/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 11/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 11/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 11/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 11/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 11/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 11/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 11/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 11/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Tenacious st: NotStopd t0: [04:00:00 11/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 11/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 11/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 11/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [04:00:00 11/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [04:00:00 11/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 11/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Red v2: Clear st: NotStopd t0: [04:00:00 11/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 11/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 11/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [03:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [03:00:00 11/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 20 vu: ml t0: [04:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [04:00:00 11/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 20 vu: ml
t0: [03:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:43:00 11/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [03:43:00 11/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [03:43:00 11/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [03:43:00 11/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [03:43:00 11/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 124 u1: mmHg rs: Final st: NotStopd t0: [03:43:00 11/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [03:43:00 11/09/2016] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.18 rs: Final st: NotStopd
t0: [03:19:00 11/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.4 rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 9.4 rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.9 u1: % rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 247 rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.22 u1: /mic l rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.4 rs: Final st: NotStopd
t0: [03:19:00 11/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 24 rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 131 rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 24 rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 131 rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [03:19:00 11/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [05:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [05:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [05:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [05:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [05:00:00 11/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 30 vu: ml
t0: [05:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:00:00 11/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 32.5 u1: ml/cmH st: NotStopd t0: [05:00:00 11/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 11/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:00:00 11/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 11/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 11/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [05:00:00 11/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 11/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [05:00:00 11/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [05:00:00 11/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [05:00:00 11/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14.3 u1: cmH2O st: NotStopd t0: [05:00:00 11/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [05:00:00 11/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 11/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 11/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [05:00:00 11/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [05:00:00 11/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [05:00:00 11/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [05:00:00 11/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [05:00:00 11/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:00:00 11/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 11/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [05:00:00 11/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [05:00:00 11/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 11/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [05:00:00 11/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [06:00:00 11/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [06:00:00 11/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 11/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [06:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 11/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 11/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 11/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 11/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 11/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 11/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 11/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 11/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [06:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 11/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [06:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [06:00:00 11/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 30 vu: ml t0: [06:00:00 11/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [06:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 11/09/2016] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 145.161 u1: units st: NotStopd t0: [06:00:00 11/09/2016] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 145.161 u1: units st: NotStopd t0: [06:00:00 11/09/2016] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [06:00:00 11/09/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.31 u1: L st: NotStopd
t0: [08:00:00 11/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 11/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 11/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 11/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 11/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 11/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 11/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 11/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 11/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [08:00:00 11/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [08:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 11/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 11/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 11/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [08:00:00 11/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [08:00:00 11/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [08:00:00 11/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 11/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 11/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 11/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 11/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 11/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 11/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 11/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 11/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 11/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 11/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 11/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 11/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 11/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 11/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 11/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 11/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Red v2: Clear st: NotStopd t0: [08:00:00 11/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 11/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 11/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [08:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [08:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 83.04 vu: ml t0: [08:00:00 11/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 20 vu: ml t0: [08:00:00 11/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [08:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 11/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 29.5455 u1: ml/cmH st: NotStopd t0: [08:00:00 11/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 11/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 11/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 11/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [08:00:00 11/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [08:00:00 11/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [08:00:00 11/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 11/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 11/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [08:00:00 11/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [08:00:00 11/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 11/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 10.4 u1: L/min st: NotStopd t0: [08:00:00 11/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 11/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [08:00:00 11/09/2016] id: Peak Flow el: 0 cu: MICU cg: -1 u1: L/m st: NotStopd t0: [08:00:00 11/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [08:00:00 11/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 29 u1: cmH2O st: NotStopd t0: [08:00:00 11/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 11/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 3 u1: BPM st: NotStopd t0: [08:00:00 11/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [08:00:00 11/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 11/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 11/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [08:00:00 11/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 11/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 617 u1: ml/B st: NotStopd t0: [08:00:00 11/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [08:00:00 11/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 11/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [08:00:00 11/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
tf: [05:00:00 12/09/2016] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
t0: [11:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 189 vo: 0 st: D/C'd
tf: [16:00:00 11/09/2016] pt: IV Piggyback rt: IV fr: Q6H fs: 11, 17, 23, 5 dn: 4 m1: Unasyn v1: 3 u1: gm m2: NS v2: 100 u2: ml tf: [11:00:00 16/09/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [10:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [10:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 155 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [10:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [10:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 11/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [10:00:00 11/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 11/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [11:00:00 11/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [11:00:00 11/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [11:00:00 11/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [11:00:00 11/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [11:00:00 11/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [11:00:00 11/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [11:00:00 11/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [11:00:00 11/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [11:00:00 11/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [11:00:00 11/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd
t0: [10:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 20 vu: ml t0: [10:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 83.04 vu: ml t0: [10:00:00 11/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [11:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [11:00:00 11/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 30 vu: ml t0: [11:00:00 11/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [10:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 11/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 200 cv: 200 ap: none t0: [23:00:00 11/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 41.52 cv: 41.52 ap: none t0: [23:00:00 11/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 201.52 cv: 1596.48 ap: none t0: [23:00:00 11/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 241.52 cv: 2586.48 ap: none t0: [23:00:00 11/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 300 ap: none t0: [23:00:00 11/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 40 cv: 690 ap: none t0: [23:00:00 11/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 200 cv: 2270 ap: none t0: [23:00:00 11/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 41.52 cv: 316.48 ap: none t0: [23:00:00 11/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 200 cv: 2270 ap: none t0: [23:00:00 11/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 41.52 cv: -11.4591 ap: none
t0: [10:00:00 11/09/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Blood Cultured st: NotStopd t0: [11:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [11:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [11:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 220 u1: mmHg st: NotStopd t0: [11:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 11/09/2016] id: CVP el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 11/09/2016] id: Cardiac Index el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 11/09/2016] id: PAP Mean el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 11/09/2016] id: PAP S/D el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 11/09/2016] id: PCWP el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 11/09/2016] id: PVR el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 11/09/2016] id: SVR el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 11/09/2016] id: Stroke Volume el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 11/09/2016] id: C.O. (fick) el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 11/09/2016] id: C.O.(thermodilution) el: 0 cu: MICU cg: -1 st: D/C'd
t0: [08:00:00 11/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 11/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 36.1111 u1: ml/cmH st: NotStopd t0: [12:00:00 11/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 11/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 11/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 11/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [12:00:00 11/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [12:00:00 11/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [12:00:00 11/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 11/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 11/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [12:00:00 11/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [12:00:00 11/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 14 u1: cmH2O st: NotStopd t0: [12:00:00 11/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 9.37 u1: L/min st: NotStopd t0: [12:00:00 11/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 11/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [12:00:00 11/09/2016] id: Peak Flow el: 0 cu: MICU cg: -1 u1: L/m st: NotStopd t0: [12:00:00 11/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 28 u1: cmH2O st: NotStopd t0: [12:00:00 11/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 26 u1: cmH2O st: NotStopd t0: [12:00:00 11/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 11/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 1 u1: BPM st: NotStopd t0: [12:00:00 11/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [12:00:00 11/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [12:00:00 11/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [12:00:00 11/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [12:00:00 11/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 11/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 619 u1: ml/B st: NotStopd t0: [12:00:00 11/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [12:00:00 11/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 11/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [12:00:00 11/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [10:00:00 11/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [12:00:00 11/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 11/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 11/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 11/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 11/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 11/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 11/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 11/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [12:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [12:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 11/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 11/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [12:00:00 11/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 11/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 11/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [12:00:00 11/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 11/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 11/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 11/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 11/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:00:00 11/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 11/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 11/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 11/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 11/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 11/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 11/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 11/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [12:00:00 11/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [12:00:00 11/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Red v2: Clear st: NotStopd t0: [12:00:00 11/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 11/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 11/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 11/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 11/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 11/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 11/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 11/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 11/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [12:00:00 11/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 11/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [12:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [12:00:00 11/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [12:00:00 11/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [12:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 11/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 116 rs: Manual st: NotStopd
t0: [13:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [13:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [13:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [13:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 11/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd
t0: [14:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [14:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [14:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 11/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd
tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Ferrous Sulfate v1: 325 u1: mg
t0: [15:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [15:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [15:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [15:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [15:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 11/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [16:00:00 11/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 11/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 11/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 11/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 11/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 11/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [16:00:00 11/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 11/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [16:00:00 11/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [16:00:00 11/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 11/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [16:00:00 11/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [16:00:00 11/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [16:00:00 11/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 11/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [16:00:00 11/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 11/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 11/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 11/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 11/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 11/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 11/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 11/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 11/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 11/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 11/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 11/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 11/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 11/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 11/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 11/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 11/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 11/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 11/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 11/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Brown v2: Clear st: NotStopd t0: [16:00:00 11/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 11/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 11/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 11/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 11/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 11/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 11/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 11/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 11/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 11/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 11/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [14:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 83.04 vu: ml t0: [14:00:00 11/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 80 vu: ml t0: [14:00:00 11/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [15:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 11/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 34.2105 u1: ml/cmH st: NotStopd t0: [16:00:00 11/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 11/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 11/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 11/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [16:00:00 11/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.8 st: NotStopd t0: [16:00:00 11/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [16:00:00 11/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 11/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 11/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [16:00:00 11/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [16:00:00 11/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 11/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [16:00:00 11/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 12.1 u1: L/min st: NotStopd t0: [16:00:00 11/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 11/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [16:00:00 11/09/2016] id: Peak Flow el: 0 cu: MICU cg: -1 u1: L/m st: NotStopd t0: [16:00:00 11/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 29 u1: cmH2O st: NotStopd t0: [16:00:00 11/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 27 u1: cmH2O st: NotStopd t0: [16:00:00 11/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 11/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 5 u1: BPM st: NotStopd t0: [16:00:00 11/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [16:00:00 11/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:00:00 11/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [16:00:00 11/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [16:00:00 11/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 11/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 643 u1: ml/B st: NotStopd t0: [16:00:00 11/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [16:00:00 11/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [16:00:00 11/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [16:00:00 11/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
tf: [16:00:00 12/09/2016] pt: IV Piggyback rt: IV fr: Q6H fs: 11, 17, 23, 5 dn: 4 m1: Unasyn v1: 3 u1: gm m2: NS v2: 100 u2: ml tf: [17:00:00 12/09/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 5, 17 dn: 2 m1: Ciprofloxacin v1: 400 u1: mg m2: D5W v2: 200 u2: ml
t0: [16:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [16:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [16:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [16:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 11/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 11/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [16:00:00 11/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [16:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 83.04 vu: ml t0: [16:00:00 11/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [16:00:00 11/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 80 vu: ml
t0: [16:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [18:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 11/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [18:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 83.04 vu: ml t0: [18:00:00 11/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 80 vu: ml t0: [18:00:00 11/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [18:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 11/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 131 rs: Manual st: NotStopd
tf: [18:00:00 12/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 19 dn: 1 m1: Furosemide v1: 120 u1: mg m2: D5W v2: 50 u2: ml
t0: [20:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 83.04 vu: ml t0: [20:00:00 11/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 80 vu: ml t0: [20:00:00 11/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [19:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [19:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [19:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [19:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [19:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 11/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 11/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 11/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 11/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 11/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 11/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 11/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 11/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 11/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 11/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [20:00:00 11/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [20:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 11/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:00:00 11/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 11/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [20:00:00 11/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [20:00:00 11/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [20:00:00 11/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 11/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 11/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [20:00:00 11/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 11/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 11/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 11/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 11/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 11/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 11/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 11/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 11/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 11/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [20:00:00 11/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 11/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 11/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 11/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 11/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 11/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 11/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 11/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [20:00:00 11/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 11/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 11/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 11/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 11/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 11/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [20:00:00 11/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 11/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 11/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 11/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [20:00:00 11/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [20:00:00 11/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 11/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Brown v2: Sediment st: NotStopd t0: [20:00:00 11/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 11/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 11/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 11/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [20:00:00 11/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 11/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [19:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 11/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 34.2105 u1: ml/cmH st: NotStopd t0: [20:00:00 11/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 11/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 11/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 11/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [20:00:00 11/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:00:00 11/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 11/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 11/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 11/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [20:00:00 11/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 11/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [20:00:00 11/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 11/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 11/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [20:00:00 11/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [20:00:00 11/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 11/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 11/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 645 u1: ml/B st: NotStopd t0: [20:00:00 11/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [20:00:00 11/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 11/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 11/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [21:00:00 11/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [21:00:00 11/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [21:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [21:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [21:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [21:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 11/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [22:00:00 11/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 11/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [22:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [22:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [22:00:00 11/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 11/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 11/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 11/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 11/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 11/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 11/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 11/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [22:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [22:00:00 11/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [22:00:00 11/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [21:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 11/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 11/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 11/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 11/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 11/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [23:00:00 11/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 11/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 11/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [23:00:00 11/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 11/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 11/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 93 u1: % st: NotStopd t0: [23:00:00 11/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [23:00:00 11/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [23:00:00 11/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 11/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 150 vu: ml t0: [23:00:00 11/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 11/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [23:00:00 11/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [23:00:00 11/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [23:00:00 11/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 12/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 32.5 u1: ml/cmH st: NotStopd t0: [00:00:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 12/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 12/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 12/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [00:00:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [00:00:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 12/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [00:00:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 12/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [00:00:00 12/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 12/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 12/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.7 u1: L/min st: NotStopd t0: [00:00:00 12/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 12/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 12/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [00:00:00 12/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [00:00:00 12/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [00:00:00 12/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 12/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 12/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:00:00 12/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: None st: NotStopd t0: [00:00:00 12/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 635 u1: ml/B st: NotStopd t0: [00:00:00 12/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [00:00:00 12/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 12/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 12/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 12/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 12/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 12/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 12/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 12/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 12/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 12/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 12/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 12/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 12/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [00:00:00 12/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [00:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 12/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 12/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 12/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [00:00:00 12/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [00:00:00 12/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [00:00:00 12/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 12/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 12/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [00:00:00 12/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 12/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 12/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 12/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 12/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 12/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 12/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 12/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 12/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 12/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [00:00:00 12/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 12/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 12/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [00:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 12/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 12/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 12/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 12/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 12/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [00:00:00 12/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 12/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 12/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 12/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 12/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 12/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 12/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [00:00:00 12/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [00:00:00 12/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 12/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Brown v2: Sediment st: NotStopd t0: [00:00:00 12/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 12/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 12/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 12/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [00:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [01:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [01:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [01:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [01:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 12/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [00:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [01:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [02:00:00 12/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [02:00:00 12/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 12/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [02:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [02:00:00 12/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 12/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 12/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 12/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 12/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 12/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 12/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 12/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [02:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [02:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [02:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [03:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [03:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [03:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 12/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 12/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 12/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 12/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 12/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 12/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 12/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 12/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 12/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 12/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [04:00:00 12/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [04:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 12/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [04:00:00 12/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 12/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [04:00:00 12/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [04:00:00 12/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [04:00:00 12/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 12/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 12/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [04:00:00 12/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 12/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 12/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 12/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 12/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 12/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 12/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 12/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 12/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 12/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 12/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 12/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 12/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 12/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 12/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 12/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 12/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 12/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 12/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 12/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 12/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 12/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 12/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [04:00:00 12/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 12/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 12/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 12/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [04:00:00 12/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [04:00:00 12/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 12/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Brown v2: Sediment st: NotStopd t0: [04:00:00 12/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 12/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 12/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 12/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vu: ml st: Stopped t0: [01:00:00 12/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vu: ml t0: [02:00:00 12/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vu: ml t0: [03:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [04:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [04:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [03:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 12/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN cv: 0 ap: none
t0: [03:30:00 12/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.2 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 10.2 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.9 u1: % rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 262 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.17 u1: /mic l rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.2 rs: Final st: NotStopd
t0: [03:30:00 12/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 126 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 126 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [03:30:00 12/09/2016] id: PT el: 0 cu: MICU cg: 1663 v1: 13.4 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 24.8 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.4 rs: Final st: NotStopd t0: [03:30:00 12/09/2016] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 24.8 rs: Final st: NotStopd
t0: [05:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [05:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [05:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [05:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [05:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 12/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 34.2105 u1: ml/cmH st: NotStopd t0: [04:00:00 12/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 12/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 12/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 12/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [04:00:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:00:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 12/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 12/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 12/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 12/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [04:00:00 12/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 12/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 12/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [04:00:00 12/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [04:00:00 12/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [04:00:00 12/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [04:00:00 12/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 12/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 12/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 680 u1: ml/B st: NotStopd t0: [04:00:00 12/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [04:00:00 12/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 12/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 12/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml
t0: [07:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [07:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [07:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [07:00:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [07:00:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [07:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 161 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [07:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [07:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [07:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [07:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 83.04 vu: ml
t0: [07:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 12/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 36.1111 u1: ml/cmH st: NotStopd t0: [08:00:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 12/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 12/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 12/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [08:00:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [08:00:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 12/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:00:00 12/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [08:00:00 12/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 12/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [08:00:00 12/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 12/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 12/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [08:00:00 12/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [08:00:00 12/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 12/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 12/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 12/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [08:00:00 12/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 12/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [08:00:00 12/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 12/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 12/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 12/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 12/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 12/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 12/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/O2 Issues st: NotStopd t0: [08:00:00 12/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 12/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 12/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 12/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 12/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 12/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [08:00:00 12/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [08:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 12/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 12/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 12/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [08:00:00 12/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [08:00:00 12/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [08:00:00 12/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 12/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 12/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [08:00:00 12/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 12/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 12/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 12/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 12/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 12/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 12/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 12/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 12/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [08:00:00 12/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 12/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 12/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 12/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 12/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 12/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 12/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 12/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 12/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 12/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 12/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [08:00:00 12/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 12/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 12/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 12/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [08:00:00 12/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [08:00:00 12/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 12/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Brown v2: Sediment st: NotStopd t0: [08:00:00 12/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 12/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 12/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 12/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 12/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 12/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 12/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 12/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 12/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd
t0: [08:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [08:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [08:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 12/09/2016] id: Previous Weight el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [08:00:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [08:00:00 12/09/2016] id: BSA - English el: 0 cu: MICU cg: RN v1: 2.02025 u1: m2 st: NotStopd t0: [08:00:00 12/09/2016] id: BSA - Metric el: 0 cu: MICU cg: RN v1: 2.33357 u1: m2 st: NotStopd t0: [08:00:00 12/09/2016] id: Weight Change el: 0 cu: MICU cg: RN v1: 0 u1: kg st: NotStopd t0: [08:00:00 12/09/2016] id: Daily Weight el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd
tf: [08:00:00 13/09/2016] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
t0: [09:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [09:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [09:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [09:00:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [09:00:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [09:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [09:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [09:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [09:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [09:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:37:00 12/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 550 u1: ml/B st: NotStopd
t0: [09:30:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:30:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:30:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [09:30:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [09:30:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [09:30:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [09:30:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [09:30:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:30:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [09:30:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:30:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [09:30:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:30:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:30:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [09:30:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 15 vu: ml t0: [09:30:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20.8 vu: ml
t0: [09:30:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:30:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:30:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:30:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [09:30:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 12/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [10:00:00 12/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 12/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [10:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [10:00:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [10:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 12/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [10:00:00 12/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [10:00:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [10:00:00 12/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [10:00:00 12/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [10:00:00 12/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [10:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 12/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [10:00:00 12/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 12/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 12/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [10:00:00 12/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 12/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [10:00:00 12/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [10:00:00 12/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 12/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [10:00:00 12/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 12/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [10:00:00 12/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [10:00:00 12/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 12/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 12/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [10:00:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [10:00:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [10:00:00 12/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 12/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 12/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 12/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 12/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [10:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [10:00:00 12/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 12/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [10:00:00 12/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 12/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 12/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 12/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [10:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 12/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 12/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 12/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 12/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 12/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [10:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 12/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [10:00:00 12/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 12/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Brown v2: Cloudy st: NotStopd t0: [10:00:00 12/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [10:00:00 12/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 12/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [10:00:00 12/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [10:00:00 12/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [10:00:00 12/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [10:00:00 12/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [10:00:00 12/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [10:00:00 12/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 8 u1: number st: NotStopd t0: [10:00:00 12/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd
t0: [10:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 15.57 vu: ml t0: [10:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 260 vu: ml
t0: [23:00:00 12/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 51.52 cv: 1645.7 ap: none t0: [23:00:00 12/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 51.52 cv: 1665.7 ap: none
t0: [10:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 12/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [10:00:00 12/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [11:00:00 12/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [11:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [11:00:00 12/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [11:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [11:00:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [11:00:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [11:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:00:00 12/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [11:00:00 12/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [11:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [11:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [11:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [11:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 12/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 260 cv: 260 ap: none t0: [23:00:00 12/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -208.48 cv: -208.48 ap: none t0: [23:00:00 12/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 260 cv: 4501 ap: none t0: [23:00:00 12/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -208.48 cv: -2835.3 ap: none t0: [23:00:00 12/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 260 cv: 4501 ap: none t0: [23:00:00 12/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -208.48 cv: -2846.76 ap: none
t0: [11:30:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:30:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:30:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [11:30:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:30:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:30:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [11:30:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [11:30:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [11:30:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [11:30:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [11:30:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:30:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [11:30:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:30:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [11:30:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:30:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:30:00 12/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [11:30:00 12/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [11:30:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [11:30:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 12/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [10:00:00 12/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 12/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 12/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 12/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [12:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [12:00:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [12:00:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [12:00:00 12/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 12/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 12/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [12:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [12:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [12:00:00 12/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 12/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 12/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [12:00:00 12/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [12:00:00 12/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [12:00:00 12/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20.76 vu: ml t0: [12:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20.76 vu: ml t0: [12:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [12:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:31:00 12/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [12:31:00 12/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [12:31:00 12/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [12:31:00 12/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [12:31:00 12/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 152 u1: mmHg rs: Final st: NotStopd t0: [12:31:00 12/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [12:31:00 12/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [12:31:00 12/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd
tf: [12:00:00 13/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 13 dn: 1 m1: Chlorothiazide Sodium v1: 250 u1: mg m2: D5W v2: 50 u2: ml tf: [12:00:00 13/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 13 dn: 1 m1: Furosemide v1: 120 u1: mg m2: D5W v2: 50 u2: ml
t0: [13:00:00 12/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 32.3529 u1: ml/cmH st: NotStopd t0: [13:00:00 12/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [13:00:00 12/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [13:00:00 12/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.8 st: NotStopd t0: [13:00:00 12/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [13:00:00 12/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [13:00:00 12/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [13:00:00 12/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.6 u1: L/min st: NotStopd t0: [13:00:00 12/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 12/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [13:00:00 12/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [13:00:00 12/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [13:00:00 12/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [13:00:00 12/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [13:00:00 12/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [13:00:00 12/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 12/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [13:00:00 12/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [13:00:00 12/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [13:00:00 12/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 12/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Distraction st: NotStopd t0: [12:00:00 12/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 12/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 12/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [12:00:00 12/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 12/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [12:00:00 12/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 12/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [12:00:00 12/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 12/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [12:00:00 12/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [12:00:00 12/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [12:00:00 12/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 12/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 12/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [12:00:00 12/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 12/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 12/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 12/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Oral Ulcers st: NotStopd t0: [12:00:00 12/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 12/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 12/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 12/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 12/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 12/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 12/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 12/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 12/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 12/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [12:00:00 12/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Brown v2: Cloudy st: NotStopd t0: [12:00:00 12/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: bath t0: [12:00:00 12/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [13:00:00 12/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [13:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [13:00:00 12/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/O2 Issues st: NotStopd t0: [13:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [13:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [13:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [13:00:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [13:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:00:00 12/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [13:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [13:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [13:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 95 u1: % st: NotStopd t0: [13:00:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [13:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20.76 vu: ml t0: [13:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [13:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 12/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Distraction st: NotStopd t0: [14:00:00 12/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 12/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [14:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [14:00:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [14:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 12/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [14:00:00 12/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [14:00:00 12/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [14:00:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [14:00:00 12/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [14:00:00 12/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [14:00:00 12/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [14:00:00 12/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [14:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 12/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [14:00:00 12/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 12/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 12/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [14:00:00 12/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 12/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [14:00:00 12/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [14:00:00 12/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 12/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [14:00:00 12/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 12/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [14:00:00 12/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [14:00:00 12/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 12/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [14:00:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [14:00:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [14:00:00 12/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 12/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 12/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 12/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [14:00:00 12/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Oral Ulcers st: NotStopd t0: [14:00:00 12/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 150 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [14:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [14:00:00 12/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 12/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [14:00:00 12/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 12/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 12/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 12/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 12/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [14:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 12/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 12/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 12/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 12/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 12/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [14:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 12/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [14:00:00 12/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 12/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Brown v2: Cloudy st: NotStopd t0: [14:00:00 12/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [14:00:00 12/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 12/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [14:00:00 12/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [14:00:00 12/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [14:00:00 12/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [14:00:00 12/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [14:00:00 12/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [14:00:00 12/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [14:00:00 12/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 12/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [13:00:00 12/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [14:00:00 12/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [14:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20.76 vu: ml t0: [14:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
tf: [13:00:00 13/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 14 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
t0: [14:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:15:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:15:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:15:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:15:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [14:15:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 153 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [14:15:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [14:15:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:15:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [14:15:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:15:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:15:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:30:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:30:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:30:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [14:30:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [14:30:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [14:30:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:30:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [14:30:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:30:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:30:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:45:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:45:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:45:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:45:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [14:45:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [14:45:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [14:45:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:45:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [14:45:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:45:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [14:45:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:15:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:30:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:45:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:15:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [14:15:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [14:15:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [14:15:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [14:15:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [14:15:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [14:30:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [14:30:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [14:30:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [14:30:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [14:30:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [14:30:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [14:45:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [14:45:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [14:45:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [14:45:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [14:45:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [14:45:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd
t0: [15:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [15:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [15:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [15:00:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [15:00:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [15:00:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [15:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [15:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [15:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [15:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 12/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [15:00:00 12/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [15:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 38.925 vu: ml t0: [15:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 190 vu: ml
t0: [15:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:42:00 12/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [15:42:00 12/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [15:42:00 12/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [15:00:00 12/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [15:00:00 12/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [15:00:00 12/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 12/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [15:00:00 12/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 12/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [15:00:00 12/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [15:00:00 12/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [15:00:00 12/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [15:00:00 12/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [15:00:00 12/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [15:00:00 12/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [15:00:00 12/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [15:00:00 12/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 12/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [15:00:00 12/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 12/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:00:00 12/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [15:00:00 12/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 12/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [15:00:00 12/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [15:00:00 12/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 12/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [15:00:00 12/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [15:00:00 12/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 12/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 12/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [15:00:00 12/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 12/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 12/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [15:00:00 12/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [15:00:00 12/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Oral Ulcers st: NotStopd t0: [15:00:00 12/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 12/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: None/Remarks st: NotStopd t0: [15:00:00 12/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [15:00:00 12/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 12/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 12/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Strong/Palpable st: NotStopd t0: [15:00:00 12/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 12/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 12/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 12/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 12/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 12/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [15:00:00 12/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 12/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 12/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [15:00:00 12/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 12/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 12/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [15:00:00 12/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [15:00:00 12/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 12/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [15:00:00 12/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 12/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 12/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 12/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [15:00:00 12/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [15:00:00 12/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [15:00:00 12/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [15:00:00 12/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [15:00:00 12/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [15:00:00 12/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [15:15:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:15:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:15:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:15:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [15:15:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:15:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:15:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [15:15:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [15:15:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:15:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [15:15:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [15:15:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [15:15:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:15:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [15:15:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:15:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [15:15:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:15:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:15:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [15:15:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:30:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:30:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [15:30:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:30:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:30:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [15:30:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [15:30:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [15:30:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [15:30:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [15:30:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:30:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [15:30:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:30:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [15:30:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:30:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:30:00 12/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [15:30:00 12/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [15:30:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [15:30:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:45:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:45:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:45:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:45:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:45:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:45:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [15:45:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:45:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:45:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [15:45:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:45:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [15:45:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:45:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:45:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:15:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:30:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:45:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [16:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [16:00:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [16:00:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [16:00:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [16:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [16:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [16:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [16:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [16:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [16:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 500 vu: ml
t0: [16:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 12/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 12/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [16:00:00 12/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.4 u1: Deg. F st: NotStopd
t0: [16:41:00 12/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [16:41:00 12/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [16:41:00 12/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [16:41:00 12/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [16:41:00 12/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 129 u1: mmHg rs: Final st: NotStopd t0: [16:41:00 12/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [17:00:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 12/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 12/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [17:00:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 12/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:00:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [17:00:00 12/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [17:00:00 12/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13 u1: L/min st: NotStopd t0: [17:00:00 12/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 12/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [17:00:00 12/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [17:00:00 12/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [17:00:00 12/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [17:00:00 12/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 469 u1: ml/B st: NotStopd t0: [17:00:00 12/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
tf: [12:00:00 13/09/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 5, 17 dn: 2 m1: Ciprofloxacin v1: 400 u1: mg m2: D5W v2: 200 u2: ml
t0: [17:01:00 12/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd
t0: [17:19:00 12/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:19:00 12/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [17:19:00 12/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [17:19:00 12/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [15:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 12/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 12/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 12/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [16:00:00 12/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 12/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 12/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [16:00:00 12/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 12/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 12/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 12/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 12/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 12/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 12/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 12/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 12/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 12/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [16:00:00 12/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 12/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 12/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 12/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 12/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 12/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 12/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 12/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 12/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 12/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 12/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 12/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [17:00:00 12/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Family at Bedsid st: NotStopd t0: [17:00:00 12/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 12/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [17:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 12/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [17:00:00 12/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [17:00:00 12/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [17:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 12/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [17:00:00 12/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 12/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 12/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [17:00:00 12/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 12/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [17:00:00 12/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [17:00:00 12/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 12/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [17:00:00 12/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [17:00:00 12/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 12/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 12/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 12/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: None/Remarks st: NotStopd t0: [17:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [17:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [17:00:00 12/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [17:00:00 12/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 12/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [17:00:00 12/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 12/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [17:00:00 12/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [17:00:00 12/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [17:00:00 12/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [17:00:00 12/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 12/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 12/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [17:00:00 12/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [17:00:00 12/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 12/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [17:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 550 vu: ml
t0: [17:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 12/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [18:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [18:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [18:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [18:00:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [18:00:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [18:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [18:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [18:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [18:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [18:00:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [18:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [12:00:00 13/09/2016] pt: IV Piggyback rt: IV fr: Q6H fs: 18, 0, 6, 12 dn: 4 m1: Unasyn v1: 3 u1: gm m2: NS v2: 100 u2: ml
t0: [18:00:00 12/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWork v1: 129 rs: Manual st: NotStopd
t0: [18:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: CoWork vo: 386 vu: ml
t0: [19:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [19:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [19:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [19:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [19:00:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [19:00:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [19:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [19:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [19:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [19:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [19:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [19:00:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [19:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [19:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [19:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [19:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 12/09/2016] id: Temperature C el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 12/09/2016] id: Temperature F (calc) el: 0 cu: MICU cg: -1 st: D/C'd
t0: [20:00:00 12/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [20:00:00 12/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 12/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 12/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 12/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 12/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [20:00:00 12/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:00:00 12/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 12/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 12/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 12/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [20:00:00 12/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 12/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12.6 u1: cmH2O st: NotStopd t0: [20:00:00 12/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [20:00:00 12/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 12/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 12/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [20:00:00 12/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [20:00:00 12/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [20:00:00 12/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:00:00 12/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 12/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 95 u1: % st: NotStopd t0: [20:00:00 12/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [20:00:00 12/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 12/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [20:00:00 12/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 12/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 12/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 12/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:15:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:15:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:15:00 12/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:15:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:15:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:15:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:15:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [20:15:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:15:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:15:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [20:15:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:15:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [20:15:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:15:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [20:15:00 12/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:15:00 12/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [20:15:00 12/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [20:15:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:15:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [20:15:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 51.9 vu: ml t0: [20:15:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [20:15:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:00:00 12/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Distraction st: NotStopd t0: [19:00:00 12/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [19:00:00 12/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [19:00:00 12/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [19:00:00 12/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [19:00:00 12/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [19:00:00 12/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [19:00:00 12/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [19:00:00 12/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [19:00:00 12/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd
t0: [20:30:00 12/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [20:30:00 12/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:30:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:30:00 12/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:30:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:30:00 12/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:30:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:30:00 12/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:30:00 12/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:30:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:30:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:30:00 12/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [20:30:00 12/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:30:00 12/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [20:30:00 12/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:30:00 12/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:30:00 12/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [20:30:00 12/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:30:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [20:30:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:30:00 12/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:30:00 12/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [20:30:00 12/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:30:00 12/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:30:00 12/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [20:30:00 12/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:30:00 12/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [20:30:00 12/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [20:30:00 12/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:30:00 12/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:30:00 12/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:30:00 12/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [20:30:00 12/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [20:30:00 12/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:30:00 12/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:30:00 12/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:30:00 12/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:30:00 12/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:30:00 12/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:30:00 12/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:30:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [20:30:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:30:00 12/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:30:00 12/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:30:00 12/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:30:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:30:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [20:30:00 12/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:30:00 12/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:30:00 12/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:30:00 12/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:30:00 12/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:30:00 12/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:30:00 12/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:30:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:30:00 12/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [20:30:00 12/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:30:00 12/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:30:00 12/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:30:00 12/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [20:30:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [20:30:00 12/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:30:00 12/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:30:00 12/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:30:00 12/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:30:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:30:00 12/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:30:00 12/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:30:00 12/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:30:00 12/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:30:00 12/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:30:00 12/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:30:00 12/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [20:30:00 12/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [20:30:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [21:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [21:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [21:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [21:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [21:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 31.14 vu: ml t0: [21:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [21:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:15:00 12/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:15:00 12/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [20:15:00 12/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [20:15:00 12/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 12/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [22:00:00 12/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 12/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [22:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 12/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [22:00:00 12/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 12/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 12/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [22:00:00 12/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 12/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 12/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 12/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd
t0: [22:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [22:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [22:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:53:00 12/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [22:53:00 12/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [22:53:00 12/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 34 rs: Final st: NotStopd t0: [22:53:00 12/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [22:53:00 12/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [22:53:00 12/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [23:00:00 12/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 12/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 12/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 12/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 12/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 12/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [23:00:00 12/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 12/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:00:00 12/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [23:00:00 12/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 12/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [23:00:00 12/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 12/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 12/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 12/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [23:00:00 12/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 12/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [23:00:00 12/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 260 vu: ml
t0: [23:00:00 12/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 12/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 20 ap: none
t0: [00:00:00 13/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [00:00:00 13/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 13/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 13/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 13/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 13/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4.0 st: NotStopd t0: [00:00:00 13/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [00:00:00 13/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 13/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 13/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 13/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [00:00:00 13/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14.3 u1: cmH2O st: NotStopd t0: [00:00:00 13/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.3 u1: L/min st: NotStopd t0: [00:00:00 13/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 13/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 13/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [00:00:00 13/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [00:00:00 13/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 13/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 13/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 13/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 13/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 590 u1: ml/B st: NotStopd t0: [00:00:00 13/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 13/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 13/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 13/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:30:00 12/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:30:00 12/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:30:00 12/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:30:00 12/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:30:00 12/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:30:00 12/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:30:00 12/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:30:00 12/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 13/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 13/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 13/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 13/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 13/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 13/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 13/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [00:00:00 13/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 13/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 13/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 13/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [00:00:00 13/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 13/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 13/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 13/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 13/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 13/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [00:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 13/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 13/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [00:00:00 13/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 13/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 13/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [00:00:00 13/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [00:00:00 13/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [00:00:00 13/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 13/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 13/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [00:00:00 13/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 13/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 13/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 13/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 13/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 13/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 13/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 13/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 13/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [00:00:00 13/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [00:00:00 13/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 13/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 13/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 13/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [00:00:00 13/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 13/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 13/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 13/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 13/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 13/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [00:00:00 13/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 13/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 13/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 13/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [00:00:00 13/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 13/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 13/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [00:00:00 13/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [00:00:00 13/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 13/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 13/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 13/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 13/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 13/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 110 rs: Manual st: NotStopd t0: [00:00:00 13/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 13/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 350 vu: ml t0: [00:00:00 13/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [00:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [00:00:00 13/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 85 vu: ml t0: [00:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [00:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 13/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 85 ap: none
t0: [01:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [01:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [01:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [01:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [01:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 13/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [02:00:00 13/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 13/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 13/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 13/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 13/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 13/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 13/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 13/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 13/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 13/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd
t0: [01:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml
t0: [01:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [02:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [02:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [02:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [02:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml t0: [02:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [02:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 280 vu: ml
t0: [02:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [03:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [03:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [03:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [03:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [03:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 190 vu: ml
t0: [03:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 13/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 13/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 13/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 13/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 13/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 13/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 13/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [04:00:00 13/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 13/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 13/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [04:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 13/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [04:00:00 13/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 13/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 13/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 13/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 13/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 13/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 13/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [04:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 13/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [04:00:00 13/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [04:00:00 13/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 13/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 13/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [04:00:00 13/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 13/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [04:00:00 13/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [04:00:00 13/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 13/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 13/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 13/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [04:00:00 13/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 13/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 13/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 13/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 13/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 13/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 13/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 13/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 13/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 13/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 13/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 13/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 13/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 13/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 13/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 13/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 13/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 13/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 13/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [04:00:00 13/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 13/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 13/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [04:00:00 13/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 13/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 13/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 13/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 13/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 13/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 13/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 13/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 13/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [04:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 13/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 13/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 13/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [04:00:00 13/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [04:00:00 13/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 13/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 13/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 13/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 13/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 13/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [04:00:00 13/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 13/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [04:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [04:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 13/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [04:00:00 13/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 13/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 13/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 13/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 13/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 13/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4.0 st: NotStopd t0: [04:00:00 13/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:00:00 13/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 13/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 13/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 13/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 13/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 13/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 13/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9 u1: L/min st: NotStopd t0: [04:00:00 13/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 13/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 13/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [04:00:00 13/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [04:00:00 13/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [04:00:00 13/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 13/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 13/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 13/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 13/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 13/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 475 u1: ml/B st: NotStopd t0: [04:00:00 13/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 13/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 13/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 13/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:35:00 13/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [04:35:00 13/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [04:35:00 13/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [04:35:00 13/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 36 rs: Final st: NotStopd t0: [04:35:00 13/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [04:35:00 13/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 127 u1: mmHg rs: Final st: NotStopd t0: [04:35:00 13/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [04:35:00 13/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd
t0: [04:20:00 13/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.2 rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 9.2 rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 33.6 u1: % rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 292 rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.3 u1: /mic l rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.2 rs: Final st: NotStopd
t0: [04:20:00 13/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 127 rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 145 rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 127 rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [04:20:00 13/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 145 rs: Final st: NotStopd
t0: [05:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [05:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [05:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [05:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [05:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [05:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 13/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [06:00:00 13/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 13/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [06:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [06:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [06:00:00 13/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [06:00:00 13/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 13/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 13/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 13/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 13/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 13/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 13/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd
t0: [06:00:00 13/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [06:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [06:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [06:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 13/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 119 rs: Manual st: NotStopd
t0: [06:45:00 13/09/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd
t0: [08:00:00 13/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [08:00:00 13/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 13/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 13/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 13/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 13/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [08:00:00 13/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [08:00:00 13/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 13/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 13/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:00:00 13/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [08:00:00 13/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 13/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 13/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.9 u1: L/min st: NotStopd t0: [08:00:00 13/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 13/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 13/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [08:00:00 13/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [08:00:00 13/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [08:00:00 13/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [08:00:00 13/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 13/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [08:00:00 13/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 443 u1: ml/B st: NotStopd t0: [08:00:00 13/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 13/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 13/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 13/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [07:00:00 13/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [07:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 13/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [07:00:00 13/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [07:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [07:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [07:00:00 13/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [07:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [07:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 13/09/2016] id: Previous Weight el: 0 cu: MICU cg: RN v1: 177.9 u1: kg st: NotStopd t0: [07:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [07:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 13/09/2016] id: BSA - English el: 0 cu: MICU cg: RN v1: 2.0252 u1: m2 st: NotStopd t0: [07:00:00 13/09/2016] id: BSA - Metric el: 0 cu: MICU cg: RN v1: 2.33913 u1: m2 st: NotStopd t0: [07:00:00 13/09/2016] id: Weight Change el: 0 cu: MICU cg: RN v1: 0.8 u1: kg st: NotStopd t0: [07:00:00 13/09/2016] id: Daily Weight el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [08:00:00 13/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 13/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [07:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [08:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [08:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [07:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [07:00:00 14/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 8 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [07:00:00 14/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 8 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [10:00:00 28/09/2016] pt: Unit Dose rt: PO fr: QID:PRN m1: Nystatin Oral Susp. v1: 5 u1: ml
t0: [08:00:00 13/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 13/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 13/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 13/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 13/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [08:00:00 13/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 13/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 13/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 13/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [08:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [08:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 13/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 13/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [08:00:00 13/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 13/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [08:00:00 13/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [08:00:00 13/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [08:00:00 13/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 13/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 13/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [08:00:00 13/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 13/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 13/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 13/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 13/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 13/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 13/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 13/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 13/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [08:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [08:00:00 13/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [08:00:00 13/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 13/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 13/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 13/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 13/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 13/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 13/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 13/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 13/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 13/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 13/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 13/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 13/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 13/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 13/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 13/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 13/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 13/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 13/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 13/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 13/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 13/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 13/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 13/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 13/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 13/09/2016] id: ETT Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [09:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 13/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 13/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [09:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 13/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 13/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 13/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 13/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [09:00:00 13/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [09:00:00 13/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [09:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [09:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 13/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 13/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 13/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: done
t0: [07:00:00 13/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [08:00:00 13/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [09:00:00 13/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [09:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [09:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [09:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 13/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [08:00:00 13/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.1 u1: Deg. F st: NotStopd
io: D5W IV Infusions el: 1 cu: MICU cg: RN ra: 80 ru: ml/hr
id: D5W el: 1 cu: MICU cg: RN io: D5W IV Infusions du: ml rt: Intravenous Push
t0: [10:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [10:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [10:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [10:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [10:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [10:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 13/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [10:00:00 13/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [10:00:00 13/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 13/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 13/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 13/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 13/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 13/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 13/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 13/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 13/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [11:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [11:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [11:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 93 u1: % st: NotStopd t0: [11:00:00 13/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [11:00:00 13/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [11:00:00 13/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [11:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 13/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 13/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 13/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 13/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 13/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 13/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [12:00:00 13/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 13/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 13/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [12:00:00 13/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 13/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [12:00:00 13/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 13/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [12:00:00 13/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [12:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 13/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [12:00:00 13/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [12:00:00 13/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 13/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [12:00:00 13/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 13/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [12:00:00 13/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [12:00:00 13/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 13/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 13/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [12:00:00 13/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 13/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 13/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 13/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 13/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 13/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 13/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 13/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 13/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 13/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 13/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 13/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 13/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 13/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN st: NotStopd t0: [12:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 13/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [12:00:00 13/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 13/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [12:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [12:00:00 13/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 13/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 13/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 13/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 13/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 13/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 13/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 13/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 13/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 13/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 13/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 93 u1: % st: NotStopd t0: [12:00:00 13/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [12:00:00 13/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 13/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 13/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 13/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 13/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 13/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 13/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 13/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [11:00:00 13/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [12:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 83.04 vu: ml t0: [12:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [11:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 13/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 132 rs: Manual st: NotStopd
t0: [12:00:00 13/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 13/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [12:00:00 13/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vu: ml nb: 1
t0: [13:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [13:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [13:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [13:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [13:00:00 13/09/2016] tf: [00:00:00 14/09/2016] dt: 660 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 10 vu: ml t0: [13:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [13:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [07:00:00 18/09/2016] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 50 u2: ml tf: [07:00:00 18/09/2016] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 80 u1: mEq m2: SW v2: 50 u2: ml tf: [07:00:00 18/09/2016] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 80 u1: mEq m2: SW v2: 50 u2: ml
t0: [13:00:00 13/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [13:00:00 13/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [13:00:00 13/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 13/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [13:00:00 13/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [13:00:00 13/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [13:00:00 13/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [13:00:00 13/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 13/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [13:00:00 13/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [13:00:00 13/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [13:00:00 13/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [13:00:00 13/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [13:00:00 13/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [13:00:00 13/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 13/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [13:00:00 13/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [13:00:00 13/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [13:00:00 13/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [13:00:00 13/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [13:00:00 13/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [13:00:00 13/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 13/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 459 u1: ml/B st: NotStopd t0: [13:00:00 13/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:00:00 13/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [13:00:00 13/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [13:00:00 13/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 13/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [13:00:00 13/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [13:30:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [14:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [14:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [14:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 13/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [14:00:00 13/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [14:00:00 13/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [14:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 36.33 vu: ml t0: [14:00:00 13/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 10 vu: ml t0: [14:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [14:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 13/09/2016] tf: [08:00:00 14/09/2016] dt: 1080 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml
t0: [14:10:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:20:00 13/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [14:20:00 13/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [14:20:00 13/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [14:25:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [15:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [15:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [15:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [15:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [15:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 18.5975 vu: ml t0: [15:00:00 13/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 20 vu: ml t0: [15:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [15:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 13/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [15:00:00 13/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [15:00:00 13/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [15:00:00 13/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [15:00:00 13/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 104 u1: mmHg rs: Final st: NotStopd t0: [15:00:00 13/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd
t0: [15:46:00 13/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd
tf: [21:00:00 15/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 125 u1: mg
t0: [16:00:00 13/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [16:00:00 13/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 13/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 13/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 13/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 13/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 13/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 13/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 13/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 13/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [16:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 13/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [16:00:00 13/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 13/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 13/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 5 u1: points st: NotStopd t0: [16:00:00 13/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 13/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 13/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [16:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 13/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [16:00:00 13/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [16:00:00 13/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 13/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [16:00:00 13/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 13/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [16:00:00 13/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [16:00:00 13/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 13/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 13/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [16:00:00 13/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 13/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 13/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 13/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 13/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 13/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 13/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 13/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 13/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 13/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 13/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 13/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 13/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 13/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 13/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:00:00 13/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [16:00:00 13/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 13/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 13/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [16:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [16:00:00 13/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 13/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 13/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 13/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [16:00:00 13/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 13/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 13/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:00:00 13/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 13/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 13/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 13/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 13/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 13/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 13/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 13/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [16:00:00 13/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [16:00:00 13/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 13/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Red v2: Sediment st: NotStopd t0: [16:00:00 13/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 13/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 13/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 13/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 13/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [16:00:00 13/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [16:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 15.57 vu: ml t0: [16:00:00 13/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 20 vu: ml t0: [16:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 95 vu: ml
t0: [16:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 13/09/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Medium
t0: [23:00:00 13/09/2016] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward
t0: [17:00:00 13/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 13/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 13/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 13/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 13/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [17:00:00 13/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 13/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:00:00 13/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [17:00:00 13/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [17:00:00 13/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [17:00:00 13/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [17:00:00 13/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 13/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [17:00:00 13/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [17:00:00 13/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [17:00:00 13/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [17:00:00 13/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 438 u1: ml/B st: NotStopd t0: [17:00:00 13/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 13/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [17:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [17:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [17:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [17:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [17:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 15.57 vu: ml t0: [17:00:00 13/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 30 vu: ml t0: [17:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [17:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 13/09/2016] id: INV#1Chg o/Wire Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [18:00:00 13/09/2016] id: INV Line#1 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [18:00:00 13/09/2016] id: INV Line#1 Site Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [18:00:00 13/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [18:00:00 13/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 st: D/C'd t0: [18:00:00 13/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 st: D/C'd t0: [18:00:00 13/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [18:00:00 13/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 st: D/C'd
t0: [18:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [18:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [18:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 148 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [18:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 149 u1: mmHg st: NotStopd t0: [18:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [18:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 13/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 129 rs: Manual st: NotStopd
t0: [18:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20.76 vu: ml t0: [18:00:00 13/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 30 vu: ml t0: [18:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [18:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 13/09/2016] id: INV Line#1 D/C Date el: 0 cu: MICU cg: RN v1: 7 v2: 29 st: NotStopd t0: [17:00:00 13/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [17:00:00 13/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd
t0: [18:00:00 13/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [18:00:00 13/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [18:00:00 13/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [18:00:00 13/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 125 rs: Final st: NotStopd t0: [18:00:00 13/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [18:00:00 13/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd t0: [18:00:00 13/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [18:00:00 13/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [18:00:00 13/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [18:00:00 13/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [18:00:00 13/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 125 rs: Final st: NotStopd t0: [18:00:00 13/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [18:00:00 13/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd t0: [19:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [19:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [19:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [19:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [19:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [19:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [19:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20.76 vu: ml t0: [19:00:00 13/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 30 vu: ml t0: [19:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [19:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:00:00 13/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [19:00:00 13/09/2016] tf: [20:00:00 13/09/2016] dt: 60 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 0 vu: ml nb: 1 t0: [19:00:00 13/09/2016] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 720 vu: ml
t0: [19:00:00 13/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml st: Stopped
t0: [20:00:00 13/09/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 st: D/C'd
tf: [19:00:00 15/09/2016] pt: Unit Dose rt: PO fr: Q12H fs: 8, 20 dn: 2 m1: Acetylcysteine 20% v1: 600 u1: mg
t0: [20:00:00 13/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 13/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 13/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 13/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Very Agitated st: NotStopd t0: [20:00:00 13/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 13/09/2016] id: IV #1 Reason DC'D el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 13/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [20:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 13/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [20:00:00 13/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 13/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 13/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 13/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [20:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 13/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 13/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [20:00:00 13/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [20:00:00 13/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [20:00:00 13/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 13/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 13/09/2016] id: IV #1 D/C Date el: 0 cu: MICU cg: RN v1: 7 v2: 29 st: NotStopd t0: [20:00:00 13/09/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 7 v2: 27 st: NotStopd t0: [20:00:00 13/09/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 13/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 13/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 13/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 13/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 13/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 13/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 13/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 13/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [20:00:00 13/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [20:00:00 13/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 13/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 13/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 13/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [20:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [20:00:00 13/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 13/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 13/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 13/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 13/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 13/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 13/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 13/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 13/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 13/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [20:00:00 13/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [20:00:00 13/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Red v2: Sediment st: NotStopd t0: [20:00:00 13/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 13/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 13/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [20:00:00 13/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 13/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 13/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 13/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 13/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 13/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 13/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 13/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 13/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [20:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20.76 vu: ml t0: [20:00:00 13/09/2016] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 100 vu: ml st: Stopped t0: [20:00:00 13/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 30 vu: ml t0: [20:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [20:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 13/09/2016] id: IV #1 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd
t0: [21:00:00 13/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [21:00:00 13/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:00:00 13/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:00:00 13/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:00:00 13/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 13/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [21:00:00 13/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [21:00:00 13/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 13/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.7 u1: Deg. C st: NotStopd t0: [21:00:00 13/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [21:00:00 13/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [21:00:00 13/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [21:00:00 13/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [21:00:00 13/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.7 u1: L/min st: NotStopd t0: [21:00:00 13/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 13/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [21:00:00 13/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [21:00:00 13/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [21:00:00 13/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [21:00:00 13/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [21:00:00 13/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 13/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [21:00:00 13/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [21:00:00 13/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 13/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 475 u1: ml/B st: NotStopd t0: [21:00:00 13/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [21:00:00 13/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 13/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [21:00:00 13/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [21:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [21:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [21:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [21:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [21:00:00 13/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [21:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [21:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 13/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [22:00:00 13/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 13/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [22:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 153 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [22:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [22:00:00 13/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [22:00:00 13/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 13/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [22:00:00 13/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 13/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 13/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 13/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 13/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd
t0: [22:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 41.52 vu: ml t0: [22:00:00 13/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [22:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [22:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 13/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [23:00:00 13/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 13/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 13/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 13/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 13/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 13/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [23:00:00 13/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 13/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 164 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [23:00:00 13/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [23:00:00 13/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 13/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [23:00:00 13/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 13/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 13/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 13/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 51.9 vu: ml t0: [23:00:00 13/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [23:00:00 13/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 10 vu: ml
t0: [23:00:00 13/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 13/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: 1663 pv: 10 cv: 10 ap: none t0: [23:00:00 13/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: 1663 pv: 40 cv: 300 ap: none t0: [23:00:00 13/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: 1663 pv: 10 cv: 2505 ap: none t0: [23:00:00 13/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: 1663 pv: 10 cv: 2505 ap: carryForward
t0: [20:00:00 13/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vu: ml
t0: [23:00:00 13/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: 1663 pv: 81.9 cv: 81.9 ap: none t0: [23:00:00 13/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: 1663 pv: 51.9 cv: 2934.57 ap: none t0: [23:00:00 13/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: 1663 pv: 91.9 cv: 3319.57 ap: none t0: [23:00:00 13/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: 1663 pv: 81.9 cv: 814.568 ap: carryForward t0: [23:00:00 13/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: 1663 pv: 81.9 cv: -2032.2 ap: carryForward
t0: [20:00:00 13/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 13/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 13/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 13/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 14/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 14/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 14/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 14/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 14/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 14/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [00:00:00 14/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 14/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 14/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 14/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [00:00:00 14/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 14/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 14/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 14/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Undigested Food st: NotStopd t0: [00:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [00:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 14/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 14/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 14/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [00:00:00 14/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 14/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [00:00:00 14/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [00:00:00 14/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [00:00:00 14/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 14/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 14/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 14/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 14/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 14/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 14/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 14/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 14/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 14/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 168 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [00:00:00 14/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [00:00:00 14/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [00:00:00 14/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 14/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 14/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 14/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 14/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 14/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 14/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 14/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 14/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 14/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 14/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 14/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 14/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [00:00:00 14/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [00:00:00 14/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [00:00:00 14/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 14/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 14/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 14/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 14/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 250 vu: ml t0: [00:00:00 14/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml st: Stopped t0: [00:00:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 10 vu: ml
t0: [23:00:00 14/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 460 ap: none t0: [23:00:00 14/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 20 cv: 125 ap: none
t0: [00:00:00 14/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 132 rs: Manual st: NotStopd
t0: [00:00:00 14/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 51.9 vu: ml st: Stopped
t0: [00:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:30:00 14/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [00:30:00 14/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:30:00 14/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:30:00 14/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:30:00 14/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:30:00 14/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [00:30:00 14/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [00:30:00 14/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:30:00 14/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.7 u1: Deg. C st: NotStopd t0: [00:30:00 14/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:30:00 14/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [00:30:00 14/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:30:00 14/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [00:30:00 14/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.7 u1: L/min st: NotStopd t0: [00:30:00 14/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:30:00 14/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:30:00 14/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:30:00 14/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [00:30:00 14/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [00:30:00 14/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [00:30:00 14/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [00:30:00 14/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:30:00 14/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:30:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:30:00 14/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 484 u1: ml/B st: NotStopd t0: [00:30:00 14/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:30:00 14/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:30:00 14/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:30:00 14/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 14/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: Trendelenberg st: NotStopd t0: [01:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [01:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 151 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [01:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [01:00:00 14/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [01:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [01:00:00 14/09/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Line Placement st: NotStopd t0: [01:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [01:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 14/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [01:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 14/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [02:00:00 14/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 14/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [02:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [02:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [02:00:00 14/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [02:00:00 14/09/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Line Placement st: NotStopd t0: [02:00:00 14/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 14/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 14/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 14/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 14/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 14/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 14/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd
t0: [02:00:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 7 vu: ml
t0: [01:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [03:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 158 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [03:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [03:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [03:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [03:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 14/09/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml st: Restart t0: [03:00:00 14/09/2016] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 0 vu: ml nb: 1 t0: [03:00:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 0 vu: ml
t0: [03:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 14/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 14/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 136.52 cv: 136.52 ap: none t0: [23:00:00 14/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 116.52 cv: 3442.48 ap: none t0: [23:00:00 14/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 136.52 cv: 4027.48 ap: none t0: [23:00:00 14/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 1757 ap: none t0: [23:00:00 14/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 136.52 cv: 2270.48 ap: carryForward t0: [23:00:00 14/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 1757 ap: carryForward t0: [23:00:00 14/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 136.52 cv: 238.286 ap: carryForward
t0: [04:00:00 14/09/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [04:00:00 14/09/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [04:00:00 14/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 st: D/C'd t0: [04:00:00 14/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 st: D/C'd
t0: [04:00:00 14/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 14/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 14/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 14/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 14/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 14/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [04:00:00 14/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:00:00 14/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 14/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.7 u1: Deg. C st: NotStopd t0: [04:00:00 14/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 14/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 14/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 14/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [04:00:00 14/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.73 u1: L/min st: NotStopd t0: [04:00:00 14/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 14/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [04:00:00 14/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [04:00:00 14/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 14/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 14/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 14/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 14/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 92 u1: % st: NotStopd t0: [04:00:00 14/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [04:00:00 14/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 14/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 14/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 14/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 14/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 14/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 14/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 14/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 14/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 14/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [04:00:00 14/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 14/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 14/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 14/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [04:00:00 14/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 14/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 14/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 14/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Undigested Food st: NotStopd t0: [04:00:00 14/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [04:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 14/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [04:00:00 14/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 30 st: NotStopd t0: [04:00:00 14/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 14/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 14/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 14/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [04:00:00 14/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 14/09/2016] id: INV Line#3 D/C Date el: 0 cu: MICU cg: RN v1: 7 v2: 30 st: NotStopd t0: [04:00:00 14/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [04:00:00 14/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 24 st: NotStopd t0: [04:00:00 14/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: Infiltrated st: NotStopd t0: [04:00:00 14/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 14/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 14/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 14/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [04:00:00 14/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 14/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 14/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 14/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 14/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 14/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 14/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 14/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 14/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 14/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 14/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [04:00:00 14/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 14/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [04:00:00 14/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 14/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 14/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 14/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 14/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 14/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 14/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 14/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 14/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 14/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 14/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 14/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 14/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 14/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 14/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 14/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 14/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 14/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 14/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 14/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [04:00:00 14/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 14/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 14/09/2016] tf: [15:58:00 24/10/2016] dt: 58318 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 51.9 vu: ml t0: [04:00:00 14/09/2016] tf: [17:46:00 14/09/2016] dt: 826 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [04:00:00 14/09/2016] tf: [15:58:00 24/10/2016] dt: 58318 id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 500 vu: ml
t0: [04:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:30:00 14/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8.9 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 8.9 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 29.9 u1: % rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.1 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 278 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.75 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8.9 rs: Final st: NotStopd
t0: [05:00:00 14/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd
t0: [04:30:00 14/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 105 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] 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 14/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 105 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] 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 14/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd
t0: [04:30:00 14/09/2016] id: PT el: 0 cu: MICU cg: 1663 v1: 14.2 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 25.4 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14.2 rs: Final st: NotStopd t0: [04:30:00 14/09/2016] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 25.4 rs: Final st: NotStopd t0: [05:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [05:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [05:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [05:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 14/09/2016] tf: [20:30:00 21/09/2016] dt: 11010 id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 31.14 vu: ml t0: [05:00:00 14/09/2016] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [05:00:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [05:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 14/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [04:00:00 14/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd
t0: [05:30:00 14/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [05:55:00 14/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [05:55:00 14/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [05:55:00 14/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [05:55:00 14/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [05:55:00 14/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 131 u1: mmHg rs: Final st: NotStopd t0: [05:55:00 14/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [06:00:00 14/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [06:00:00 14/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 14/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [06:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 14/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [06:00:00 14/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 14/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 14/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 14/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 14/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 14/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 14/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 14/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 128 rs: Manual st: NotStopd
t0: [06:00:00 14/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 14/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 31.14 vu: ml t0: [06:00:00 14/09/2016] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [06:00:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [06:15:00 14/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [06:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [07:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [07:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [07:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [07:00:00 14/09/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [07:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 14/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [07:00:00 14/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 31.14 vu: ml t0: [07:00:00 14/09/2016] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [07:00:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [07:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:25:00 14/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd
t0: [08:00:00 14/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [08:00:00 14/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 14/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 14/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 14/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 14/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [08:00:00 14/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [08:00:00 14/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 14/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.7 u1: Deg. C st: NotStopd t0: [08:00:00 14/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:00:00 14/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [08:00:00 14/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 14/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 14/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [08:00:00 14/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 14/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 14/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [08:00:00 14/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [08:00:00 14/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 14/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [08:00:00 14/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:00:00 14/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 14/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [08:00:00 14/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 448 u1: ml/B st: NotStopd t0: [08:00:00 14/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 14/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 14/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 14/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 14/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 14/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 14/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [08:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 14/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 14/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 14/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [08:00:00 14/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 14/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [08:00:00 14/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 14/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 14/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 14/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [08:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 14/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:00:00 14/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 30 st: NotStopd t0: [08:00:00 14/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 14/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [08:00:00 14/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 14/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 14/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 14/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 14/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 14/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 14/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 14/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 14/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 14/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 14/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 14/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 14/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 14/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 14/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 14/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 14/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 14/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 14/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 14/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 14/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 14/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 14/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 14/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 14/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [08:00:00 14/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [08:00:00 14/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [08:00:00 14/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 14/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 14/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 14/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 14/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 14/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 14/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 14/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 14/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 14/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: Propofol el: 103 cu: MICU cg: RN io: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions am: 1000 du: mcgkgmin rt: IV Drip
id: N/A el: 1 cu: MICU cg: RN io: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions vo: 100 du: vl rt: Intravenous Push
t0: [09:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 14/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 14/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [09:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 14/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 14/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 14/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [09:00:00 14/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [09:00:00 14/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [09:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [09:00:00 14/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 14/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [09:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [09:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 14/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [09:00:00 14/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 14/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 14/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done
t0: [08:00:00 14/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [08:00:00 14/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 31.14 vu: ml t0: [08:00:00 14/09/2016] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [09:00:00 14/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 31.14 vu: ml t0: [09:00:00 14/09/2016] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [09:00:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [09:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:15:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 14/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [10:00:00 14/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 14/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [10:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [10:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [10:00:00 14/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [10:00:00 14/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 14/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 14/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 14/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 14/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 14/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 14/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 27.2475 vu: ml t0: [10:00:00 14/09/2016] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [10:00:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [10:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 14/09/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large
t0: [23:00:00 14/09/2016] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward
t0: [11:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 14/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [11:00:00 14/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [11:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 14/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [11:00:00 14/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 30 st: NotStopd t0: [11:00:00 14/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [11:00:00 14/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [11:00:00 14/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [11:00:00 14/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [11:00:00 14/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [11:00:00 14/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 14/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 14/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [11:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [11:00:00 14/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 14/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [11:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [11:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [11:00:00 14/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 14/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 14/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 14/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [08:00:00 14/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 90 vu: ml t0: [11:00:00 14/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 25.95 vu: ml t0: [11:00:00 14/09/2016] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [11:00:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 95 vu: ml
t0: [11:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 14/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 14/09/2016] id: ETT Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 14/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [11:00:00 14/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [11:00:00 14/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [11:00:00 14/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd
t0: [08:00:00 14/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 14/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 14/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 14/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 14/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [12:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 14/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 14/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 14/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 14/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 14/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [12:00:00 14/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 14/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 14/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 14/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 14/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 14/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [12:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 14/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 14/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 14/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 14/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 14/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 14/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 14/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 14/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 14/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 14/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [12:00:00 14/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [12:00:00 14/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 14/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 14/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 14/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 14/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 14/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 14/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 14/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 14/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 14/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 14/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 14/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 14/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 14/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [12:00:00 14/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [12:00:00 14/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [12:00:00 14/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 14/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 14/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 14/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 14/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 25.95 vu: ml t0: [12:00:00 14/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 120 vu: ml t0: [12:00:00 14/09/2016] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [12:00:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [12:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 14/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [13:00:00 14/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [13:00:00 14/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 14/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [13:00:00 14/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [13:00:00 14/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [13:00:00 14/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [13:00:00 14/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 14/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.7 u1: Deg. C st: NotStopd t0: [13:00:00 14/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [13:00:00 14/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [13:00:00 14/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [13:00:00 14/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [13:00:00 14/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [13:00:00 14/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 14/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [13:00:00 14/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [13:00:00 14/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [13:00:00 14/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [13:00:00 14/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [13:00:00 14/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [13:00:00 14/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [13:00:00 14/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [13:00:00 14/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 459 u1: ml/B st: NotStopd t0: [13:00:00 14/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:00:00 14/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [13:00:00 14/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [13:00:00 14/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [13:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [13:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [13:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [13:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 14/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 25.95 vu: ml t0: [13:00:00 14/09/2016] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [13:00:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [13:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 14/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [14:00:00 14/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 14/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [14:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [14:00:00 14/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [14:00:00 14/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 14/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 14/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 14/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 14/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 14/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 14/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 25.95 vu: ml t0: [14:00:00 14/09/2016] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [14:00:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [14:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:30:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [14:00:00 14/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 14/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 14/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 14/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 14/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 14/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 14/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 14/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [14:00:00 14/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 14/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 14/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [15:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [15:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [15:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [15:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [15:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 14/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 25.95 vu: ml t0: [15:00:00 14/09/2016] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [15:00:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
io: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ra: 75 ru: ml/hr
id: .45% Normal Saline el: 1 cu: MICU cg: RN io: .45% Normal Saline 750.0ml IV Infusions vo: 750 du: ml rt: Intravenous Push
t0: [16:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:45:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:45:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:45:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:45:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:45:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:45:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [17:45:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:45:00 14/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [17:45:00 14/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [17:45:00 14/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [17:45:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [17:45:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [17:45:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:45:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [17:45:00 14/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable st: NotStopd t0: [17:45:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:45:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [17:45:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:45:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:45:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [17:45:00 14/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [17:45:00 14/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [17:45:00 14/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.7 u1: Deg. F st: NotStopd
t0: [17:45:00 14/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [17:45:00 14/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Very Sedated st: NotStopd t0: [17:45:00 14/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [17:45:00 14/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [17:45:00 14/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [17:45:00 14/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [17:45:00 14/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [17:45:00 14/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [17:45:00 14/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [17:45:00 14/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [17:45:00 14/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [17:45:00 14/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [17:45:00 14/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [17:45:00 14/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [17:45:00 14/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [17:45:00 14/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [17:45:00 14/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [17:45:00 14/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Exp Wheeze st: NotStopd t0: [17:45:00 14/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [17:45:00 14/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:45:00 14/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:45:00 14/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [18:00:00 14/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [18:00:00 14/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 14/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 14/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [18:00:00 14/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [18:00:00 14/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [18:00:00 14/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [18:00:00 14/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 14/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 14/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 14/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 14/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 14/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 14/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 14/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [18:00:00 14/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [18:00:00 14/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd
t0: [17:45:00 14/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 71.3625 vu: ml t0: [17:45:00 14/09/2016] id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 168 vo: 412.5 vu: ml t0: [17:45:00 14/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vu: ml nb: 1
t0: [17:46:00 14/09/2016] id: D5W IV Infusions el: 1 cu: MICU cg: -1 ai: 168 vo: 0 st: D/C'd
tf: [17:00:00 21/09/2016] pt: Unit Dose rt: IV fr: X1:PRN m1: Atropine Sulfate v1: 0.5 u1: mg
t0: [18:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [18:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [18:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [18:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [18:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [18:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:15:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:15:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:15:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:15:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:15:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:15:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [18:15:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:15:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [18:15:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [18:15:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:15:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [18:15:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:15:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:15:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:45:00 14/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [18:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:15:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:30:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:30:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:30:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:30:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:30:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [18:30:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:30:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [18:30:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:30:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [18:30:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:30:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:30:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 14/09/2016] tf: [09:00:00 15/09/2016] dt: 870 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vu: ml nb: 1 t0: [18:30:00 14/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 19.4625 vu: ml t0: [18:30:00 14/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 5 vu: ml t0: [18:30:00 14/09/2016] tf: [06:00:00 17/09/2016] dt: 3570 id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 27.5 vu: ml
t0: [18:30:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:15:00 14/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 119 rs: Manual st: NotStopd
t0: [18:44:00 14/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [18:44:00 14/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [18:44:00 14/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [18:44:00 14/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [18:44:00 14/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [18:44:00 14/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [18:44:00 14/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [18:44:00 14/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [18:44:00 14/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [18:44:00 14/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [18:44:00 14/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [18:44:00 14/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v2: Combivent st: NotStopd t0: [18:44:00 14/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [18:44:00 14/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.26 u1: L/min st: NotStopd t0: [18:44:00 14/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [18:44:00 14/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [18:44:00 14/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [18:44:00 14/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [18:44:00 14/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [18:44:00 14/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [18:44:00 14/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [18:44:00 14/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [18:44:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [18:44:00 14/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [18:44:00 14/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [18:44:00 14/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [18:44:00 14/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [18:44:00 14/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [18:00:00 14/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable st: NotStopd t0: [18:15:00 14/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable st: NotStopd t0: [18:30:00 14/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable st: NotStopd t0: [18:45:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:45:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:45:00 14/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [18:45:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:45:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:45:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:45:00 14/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [18:45:00 14/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [18:45:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [18:45:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:45:00 14/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [18:45:00 14/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [18:45:00 14/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [18:45:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:45:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [18:45:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:45:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [18:45:00 14/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [18:45:00 14/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [18:45:00 14/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable st: NotStopd t0: [18:45:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:45:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:45:00 14/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:45:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:45:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:20:00 14/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [18:20:00 14/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [18:20:00 14/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [18:20:00 14/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [18:20:00 14/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 123 rs: Final st: NotStopd t0: [18:20:00 14/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd t0: [18:20:00 14/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [18:20:00 14/09/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [18:20:00 14/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [18:20:00 14/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [18:20:00 14/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [18:20:00 14/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 123 rs: Final st: NotStopd t0: [18:20:00 14/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [18:20:00 14/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 6.8 rs: Final st: NotStopd t0: [18:20:00 14/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 6.8 rs: Final st: NotStopd
t0: [19:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [19:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [19:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [19:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [19:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 14/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 14/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 14/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 14/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 14/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 14/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 14/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 14/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [20:00:00 14/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 14/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 14/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 14/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [20:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 14/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [20:00:00 14/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 30 st: NotStopd t0: [20:00:00 14/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 14/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [20:00:00 14/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 14/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 14/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 14/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 14/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 14/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 14/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 14/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 14/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 14/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 14/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [20:00:00 14/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 14/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 14/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 14/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 14/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [20:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 14/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [20:00:00 14/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 14/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 14/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [20:00:00 14/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 14/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 14/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 14/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 14/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 14/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 14/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [20:00:00 14/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 14/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 14/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 14/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 14/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 14/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 14/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 14/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 14/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 14/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [20:00:00 14/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [20:00:00 14/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 14/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Red v2: Clear st: NotStopd t0: [20:00:00 14/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 14/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 14/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 14/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: DONE t0: [20:00:00 14/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 14/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [20:00:00 14/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 31 vu: ml t0: [20:00:00 14/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 20 vu: ml t0: [20:00:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml t0: [20:00:00 14/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [19:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [21:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [21:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [21:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 14/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 31.14 vu: ml t0: [21:00:00 14/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 20 vu: ml t0: [21:00:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml t0: [21:00:00 14/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [21:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 14/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [22:00:00 14/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 14/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [22:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [22:00:00 14/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [22:00:00 14/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 14/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 14/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 14/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 14/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 14/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 14/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.5 vu: ml t0: [22:00:00 14/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 20 vu: ml t0: [22:00:00 14/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [22:00:00 14/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [22:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 14/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [22:00:00 14/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [22:00:00 14/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [22:00:00 14/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [22:00:00 14/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [22:00:00 14/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [22:00:00 14/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [22:00:00 14/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [22:00:00 14/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [22:00:00 14/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [22:00:00 14/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [22:00:00 14/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v2: Combivent st: NotStopd t0: [22:00:00 14/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [22:00:00 14/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.91 u1: L/min st: NotStopd t0: [22:00:00 14/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [22:00:00 14/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [22:00:00 14/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [22:00:00 14/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [22:00:00 14/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [22:00:00 14/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [22:00:00 14/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [22:00:00 14/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [22:00:00 14/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [22:00:00 14/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [22:00:00 14/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [22:00:00 14/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [22:00:00 14/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [23:00:00 14/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 14/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 14/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 14/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 14/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 14/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [23:00:00 14/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 14/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [23:00:00 14/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [23:00:00 14/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [23:00:00 14/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 14/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 14/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 14/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 14/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.5 u1: % rs: Final st: NotStopd
tf: [22:00:00 15/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 23 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml tf: [22:00:00 15/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 23 dn: 1 m1: Furosemide v1: 80 u1: mg
t0: [22:00:00 14/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [22:00:00 14/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd
t0: [22:00:00 14/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 14/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [22:00:00 14/09/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [00:00:00 15/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 15/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 15/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 15/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 15/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 15/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 15/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 15/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [00:00:00 15/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 15/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 15/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 15/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [00:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 15/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [00:00:00 15/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 30 st: NotStopd t0: [00:00:00 15/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 15/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [00:00:00 15/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 15/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 15/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 15/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 15/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 15/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 15/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 15/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 15/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 15/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [00:00:00 15/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 15/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 15/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 15/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [00:00:00 15/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [00:00:00 15/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 15/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 15/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [00:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 15/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [00:00:00 15/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 15/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 15/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 15/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 15/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 15/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 15/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 15/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 15/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 15/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 15/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 15/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 15/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 15/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 15/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 15/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [00:00:00 15/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [00:00:00 15/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 15/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Orange v2: Clear st: NotStopd t0: [00:00:00 15/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 15/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 15/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 15/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [23:00:00 14/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.52 vu: ml t0: [23:00:00 14/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 20 vu: ml t0: [23:00:00 14/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [00:00:00 15/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.52 vu: ml t0: [00:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 30 vu: ml t0: [00:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml t0: [00:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [00:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 15/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml
t0: [00:00:00 15/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [00:00:00 15/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 15/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 15/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 15/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 15/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [00:00:00 15/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [00:00:00 15/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 15/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [00:00:00 15/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 15/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [00:00:00 15/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 15/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [00:00:00 15/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [00:00:00 15/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 15/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 15/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:00:00 15/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [00:00:00 15/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 15/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 15/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:00:00 15/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 15/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 15/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 15/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 15/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 15/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 15/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [01:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [01:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [01:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 15/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [01:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.52 vu: ml t0: [01:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 30 vu: ml t0: [01:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [01:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 15/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [02:00:00 15/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 15/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [02:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [02:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [02:00:00 15/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 15/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [02:00:00 15/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 15/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 15/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 15/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 15/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 15/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.52 vu: ml t0: [02:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 30 vu: ml t0: [02:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [02:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [02:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [03:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [03:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [03:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.52 vu: ml t0: [03:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 30 vu: ml t0: [03:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 380 vu: ml t0: [03:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [03:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 15/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: 1663 pv: 550 cv: 550 ap: none t0: [23:00:00 15/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: 1663 pv: -372.72 cv: -372.72 ap: none t0: [23:00:00 15/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: 1663 pv: 137.28 cv: 2904.96 ap: none t0: [23:00:00 15/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: 1663 pv: 177.28 cv: 3524.96 ap: none t0: [23:00:00 15/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: 1663 pv: 40 cv: 620 ap: none t0: [23:00:00 15/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: 1663 pv: 550 cv: 4610 ap: none t0: [23:00:00 15/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: 1663 pv: -372.72 cv: -1085.04 ap: none t0: [23:00:00 15/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: 1663 pv: 550 cv: 4610 ap: none t0: [23:00:00 15/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: 1663 pv: -372.72 cv: -846.753 ap: carryForward
t0: [04:00:00 15/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 15/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 15/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 15/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 15/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 15/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 15/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 15/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 15/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [04:00:00 15/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 15/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 15/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 15/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [04:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 15/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [04:00:00 15/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 30 st: NotStopd t0: [04:00:00 15/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 15/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 15/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 15/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [04:00:00 15/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 15/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 15/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 15/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 15/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 15/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 15/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 15/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 15/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 15/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 15/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [04:00:00 15/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 15/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 15/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 15/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:00:00 15/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [04:00:00 15/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 15/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 15/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 15/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [04:00:00 15/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 15/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 15/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 15/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 15/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 15/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 15/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 15/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 15/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 15/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 15/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 15/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [04:00:00 15/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 15/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 15/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 15/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [04:00:00 15/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [04:00:00 15/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 15/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 15/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 15/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 15/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 15/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.52 vu: ml t0: [04:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [04:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [04:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:30:00 15/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30 u1: % rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.9 u1: gm/dl rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 303 rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.81 u1: /mic l rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd
t0: [04:15:00 15/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [04:15:00 15/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:15:00 15/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:15:00 15/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:15:00 15/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:15:00 15/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:15:00 15/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4 st: NotStopd t0: [04:15:00 15/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:15:00 15/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:15:00 15/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [04:15:00 15/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:15:00 15/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [04:15:00 15/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:15:00 15/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:15:00 15/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [04:15:00 15/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:15:00 15/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:15:00 15/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [04:15:00 15/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [04:15:00 15/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [04:15:00 15/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [04:15:00 15/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [04:15:00 15/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:15:00 15/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:15:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [04:15:00 15/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [04:15:00 15/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:15:00 15/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:15:00 15/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:15:00 15/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [03:30:00 15/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 124 rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 5.2 rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 124 rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 5.2 rs: Final st: NotStopd t0: [03:30:00 15/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [05:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [05:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [05:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [05:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.52 vu: ml t0: [05:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [05:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:30:00 15/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:30:00 15/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:30:00 15/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:30:00 15/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [04:30:00 15/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [04:30:00 15/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [04:30:00 15/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.9 u1: L/min st: NotStopd t0: [04:30:00 15/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:30:00 15/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:30:00 15/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [04:30:00 15/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [04:30:00 15/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [04:30:00 15/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:30:00 15/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:30:00 15/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [04:30:00 15/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:30:00 15/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:30:00 15/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [06:00:00 15/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [06:00:00 15/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 15/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [06:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [06:00:00 15/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 15/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 178.7 u1: kg st: NotStopd t0: [06:00:00 15/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 15/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 15/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 15/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 15/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 15/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [05:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [06:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.52 vu: ml t0: [06:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [06:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [06:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [06:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:14:00 15/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [05:14:00 15/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 129 rs: Final st: NotStopd t0: [05:14:00 15/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [05:14:00 15/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [05:14:00 15/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [05:14:00 15/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 107 u1: mmHg rs: Final st: NotStopd t0: [05:14:00 15/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [05:14:00 15/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 129 rs: Final st: NotStopd
t0: [07:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 15/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [07:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 15/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [07:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 15/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [07:00:00 15/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [07:00:00 15/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [07:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [07:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [07:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 15/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [07:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.52 vu: ml t0: [07:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [07:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml t0: [07:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [07:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 15/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 15/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 15/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 15/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 15/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [08:00:00 15/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 15/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [08:00:00 15/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:00:00 15/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [08:00:00 15/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 15/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.7 u1: L/min st: NotStopd t0: [08:00:00 15/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 15/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 15/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 15/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [08:00:00 15/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [08:00:00 15/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [08:00:00 15/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 464 u1: ml/B st: NotStopd t0: [08:00:00 15/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 15/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 15/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 15/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 15/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 15/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 15/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [08:00:00 15/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 15/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 15/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 15/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [08:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 15/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 15/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 15/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 15/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 15/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 15/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 15/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 15/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [08:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [08:00:00 15/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 15/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 15/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 15/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 15/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 15/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 15/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 15/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 15/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 15/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 15/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 15/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [08:00:00 15/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [08:00:00 15/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 15/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [08:00:00 15/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 15/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 15/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 15/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [08:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.52 vu: ml t0: [08:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [08:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [08:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [08:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:40:00 15/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 5.8 rs: Final st: NotStopd t0: [07:40:00 15/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 5.8 rs: Final st: NotStopd
t0: [08:00:00 15/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 15/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [08:00:00 15/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 30 st: NotStopd t0: [08:00:00 15/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 15/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [09:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 15/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [09:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 15/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [09:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 15/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [09:00:00 15/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [09:00:00 15/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [09:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [09:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [09:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 15/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [09:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 15/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [10:00:00 15/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [10:00:00 15/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [10:00:00 15/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [10:00:00 15/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 15/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [10:00:00 15/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 30 st: NotStopd t0: [10:00:00 15/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 15/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 15/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [10:00:00 15/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 15/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 15/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 15/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 15/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [10:00:00 15/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 15/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 15/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [10:00:00 15/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 15/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 15/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [09:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.52 vu: ml t0: [09:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 0 vu: ml st: Stopped t0: [09:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [09:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [10:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.52 vu: ml t0: [10:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 0 vu: ml t0: [10:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml t0: [10:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [09:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 15/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 15/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [10:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 15/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [10:00:00 15/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [10:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [10:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 15/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [10:00:00 15/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [10:00:00 15/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [10:00:00 15/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [10:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [10:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 15/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 15/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 15/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 15/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 15/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [10:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 15/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [10:00:00 15/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [10:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 15/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd
t0: [10:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 15/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [10:00:00 15/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [11:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 15/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 15/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [11:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 15/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [11:00:00 15/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [11:00:00 15/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [11:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [11:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [11:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 15/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [11:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.52 vu: ml t0: [11:00:00 15/09/2016] tf: [13:00:00 15/09/2016] dt: 120 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml st: Restart t0: [11:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [11:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [11:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 15/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd
t0: [12:00:00 15/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 15/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 15/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 15/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 15/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 15/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 15/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [12:00:00 15/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 15/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 15/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 15/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 15/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [12:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 15/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [12:00:00 15/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 30 st: NotStopd t0: [12:00:00 15/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 15/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 15/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [12:00:00 15/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 15/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 15/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 15/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 15/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 15/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [12:00:00 15/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [12:00:00 15/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [12:00:00 15/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 15/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 15/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 15/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 15/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 15/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [12:00:00 15/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 15/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 15/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 15/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 15/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 15/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 15/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 15/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 15/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 15/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 15/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [12:00:00 15/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 15/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 15/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [12:00:00 15/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 15/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [12:00:00 15/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 15/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 15/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 25.95 vu: ml t0: [12:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [12:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml t0: [12:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [12:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 15/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [13:00:00 15/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 15/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [13:00:00 15/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [13:00:00 15/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [13:00:00 15/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 15/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [13:00:00 15/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [13:00:00 15/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [13:00:00 15/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [13:00:00 15/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.2 u1: L/min st: NotStopd t0: [13:00:00 15/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 15/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [13:00:00 15/09/2016] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [13:00:00 15/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [13:00:00 15/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 39 u1: BPM st: NotStopd t0: [13:00:00 15/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 94 u1: % st: NotStopd t0: [13:00:00 15/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 326 u1: ml/B st: NotStopd t0: [13:00:00 15/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [13:00:00 15/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [13:19:00 15/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [13:19:00 15/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [13:19:00 15/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [13:19:00 15/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [13:19:00 15/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [13:19:00 15/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [14:00:00 15/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [14:00:00 15/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [14:00:00 15/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [14:00:00 15/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [14:00:00 15/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [13:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [13:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 147 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [13:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [13:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [13:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [14:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [14:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 36 u1: BPM st: NotStopd t0: [14:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 15/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 15/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [12:00:00 15/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [14:00:00 15/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [14:00:00 15/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 15/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 15/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [14:00:00 15/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [14:00:00 15/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [14:00:00 15/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [14:00:00 15/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [14:00:00 15/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [14:00:00 15/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 15/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [14:00:00 15/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 30 st: NotStopd t0: [14:00:00 15/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 15/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 15/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [14:00:00 15/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 15/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [14:00:00 15/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 15/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 15/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [14:00:00 15/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [14:00:00 15/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [14:00:00 15/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [14:00:00 15/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [14:00:00 15/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [14:00:00 15/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 15/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [14:00:00 15/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [14:00:00 15/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 15/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 15/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 15/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 15/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 15/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 15/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 15/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 15/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 15/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 15/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 15/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [14:00:00 15/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 15/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 15/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [14:00:00 15/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 15/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 15/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [13:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 25.95 vu: ml t0: [13:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 0 vu: ml t0: [13:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [14:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 25.95 vu: ml t0: [14:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 0 vu: ml t0: [14:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [13:30:00 15/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [13:30:00 15/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd
t0: [15:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 15/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [15:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [15:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 93 u1: % st: NotStopd t0: [15:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 15/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 15/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [16:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 15/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 15/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [16:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [16:00:00 15/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 15/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 15/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [16:00:00 15/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [16:00:00 15/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 51.9 vu: ml t0: [16:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 0 vu: ml t0: [16:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 280 vu: ml t0: [16:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 150 vu: ml
t0: [16:00:00 15/09/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd
t0: [16:26:00 15/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:26:00 15/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:26:00 15/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:26:00 15/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:26:00 15/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [16:26:00 15/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:26:00 15/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:26:00 15/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:26:00 15/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [16:26:00 15/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v2: Combivent st: NotStopd t0: [16:26:00 15/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [16:26:00 15/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.3 u1: L/min st: NotStopd t0: [16:26:00 15/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:26:00 15/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:26:00 15/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:26:00 15/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [16:26:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [16:26:00 15/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 373 u1: ml/B st: NotStopd t0: [16:26:00 15/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:26:00 15/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 15/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd
t0: [17:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 15/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [17:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [17:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 15/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [17:00:00 15/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 30 st: NotStopd t0: [17:00:00 15/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 15/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 15/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [17:00:00 15/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 15/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [17:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [17:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 25.95 vu: ml t0: [17:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml t0: [17:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [18:00:00 15/09/2016] id: INV Line#1 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [18:00:00 15/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [18:00:00 15/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 st: D/C'd t0: [18:00:00 15/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd
t0: [18:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 15/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [18:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 25.95 vu: ml t0: [18:00:00 15/09/2016] tf: [11:00:00 16/09/2016] dt: 1020 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [18:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml t0: [18:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [18:36:00 15/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [18:36:00 15/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [18:36:00 15/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [18:36:00 15/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [18:36:00 15/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [18:36:00 15/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [18:36:00 15/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [18:36:00 15/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [18:36:00 15/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [18:36:00 15/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 33 u1: BPM st: NotStopd t0: [18:36:00 15/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 334 u1: ml/B st: NotStopd t0: [18:36:00 15/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [14:00:00 15/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [14:00:00 15/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [14:00:00 15/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: Bleeding st: NotStopd t0: [14:00:00 15/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [16:00:00 15/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right Femoral st: NotStopd t0: [16:00:00 15/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 30 st: NotStopd t0: [16:00:00 15/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 15/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [16:00:00 15/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 15/09/2016] id: INV Line#1 D/C Date el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [18:00:00 15/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [18:00:00 15/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [18:00:00 15/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [18:00:00 15/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [18:00:00 15/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [18:00:00 15/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [18:00:00 15/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [18:00:00 15/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [18:00:00 15/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [18:00:00 15/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 15/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 15/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 15/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [18:00:00 15/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [18:00:00 15/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 15/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 15/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 15/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [18:00:00 15/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [18:00:00 15/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 15/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 15/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [18:00:00 15/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [16:00:00 15/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 15/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [16:00:00 15/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 15/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v2: Left Subclavian st: NotStopd t0: [17:00:00 15/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd
t0: [19:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 15/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [19:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [19:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [19:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [19:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [19:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 25.95 vu: ml t0: [19:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 20 vu: ml t0: [19:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml t0: [19:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
tf: [18:00:00 16/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 19 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml tf: [18:00:00 16/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 19 dn: 1 m1: Furosemide v1: 80 u1: mg
t0: [13:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 15/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:42:00 15/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [20:42:00 15/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [20:42:00 15/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 34 rs: Final st: NotStopd t0: [20:42:00 15/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [20:42:00 15/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 107 u1: mmHg rs: Final st: NotStopd t0: [20:42:00 15/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [21:00:00 15/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:00:00 15/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:00:00 15/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:00:00 15/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [21:00:00 15/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [21:00:00 15/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 15/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [21:00:00 15/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [21:00:00 15/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [21:00:00 15/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v2: Combivent st: NotStopd t0: [21:00:00 15/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [21:00:00 15/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.6 u1: L/min st: NotStopd t0: [21:00:00 15/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 15/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [21:00:00 15/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [21:00:00 15/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:00:00 15/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 331 u1: ml/B st: NotStopd t0: [21:00:00 15/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [21:00:00 15/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
tf: [11:00:00 16/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 150 u1: mg
t0: [20:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 15/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 15/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [20:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 15/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Pedal v2: 4 mm st: NotStopd t0: [20:00:00 15/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 1 No Response st: NotStopd t0: [20:00:00 15/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 7 u1: points st: NotStopd t0: [20:00:00 15/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [20:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [20:00:00 15/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [20:00:00 15/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [20:00:00 15/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 15/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 15/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 15/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 15/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Thrush st: NotStopd t0: [20:00:00 15/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 133 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [20:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [20:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 15/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 15/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 15/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 15/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [20:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 37 u1: BPM st: NotStopd t0: [20:00:00 15/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 15/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 15/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [20:00:00 15/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [20:00:00 15/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 15/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.8333 u1: Deg. C st: NotStopd t0: [20:00:00 15/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.3 u1: Deg. F st: NotStopd t0: [20:00:00 15/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 15/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 15/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 15/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [21:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 15/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [21:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [21:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [21:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [21:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [21:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [21:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 62.28 vu: ml t0: [20:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 117 vo: 40 vu: ml t0: [20:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 90 vu: ml t0: [20:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 75 vu: ml t0: [21:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 62.28 vu: ml t0: [21:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 117 vo: 40 vu: ml t0: [21:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 110 vu: ml t0: [21:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 75 vu: ml
t0: [20:00:00 15/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 15/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:30:00 15/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [23:30:00 15/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [23:30:00 15/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [23:30:00 15/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [23:30:00 15/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [23:30:00 15/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [23:30:00 15/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [23:30:00 15/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.6 u1: Deg. C st: NotStopd t0: [23:30:00 15/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [23:30:00 15/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [23:30:00 15/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [23:30:00 15/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [23:30:00 15/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.6 u1: L/min st: NotStopd t0: [23:30:00 15/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [23:30:00 15/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [23:30:00 15/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [23:30:00 15/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [23:30:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 95 u1: % st: NotStopd t0: [23:30:00 15/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [23:30:00 15/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [23:30:00 15/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [23:00:00 16/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -334.968 cv: -430.89 ap: carryForward
t0: [23:30:00 15/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [23:30:00 15/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [04:00:00 16/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 16/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [04:00:00 16/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 16/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 16/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 16/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 16/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:00:00 16/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 16/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.8 u1: Deg. C st: NotStopd t0: [04:00:00 16/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 16/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 16/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 16/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [04:00:00 16/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [04:00:00 16/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 16/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 16/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [04:00:00 16/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 95 u1: % st: NotStopd t0: [04:00:00 16/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 16/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 16/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:00:00 16/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 16/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [19:00:00 15/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [19:00:00 15/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [19:00:00 15/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [19:00:00 15/09/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [19:00:00 15/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [19:00:00 15/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [19:00:00 15/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [19:00:00 15/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [19:00:00 15/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [19:00:00 15/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 15/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 15/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 15/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 26 st: NotStopd t0: [20:00:00 15/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 15/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: -1 v2: Left Subclavian st: NotStopd t0: [20:00:00 15/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 31 st: NotStopd t0: [20:00:00 15/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 15/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [22:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 15/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [22:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 15/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [22:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [22:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [22:00:00 15/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 15/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [22:00:00 15/09/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 15/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [22:00:00 15/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [22:00:00 15/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [22:00:00 15/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [22:00:00 15/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [22:00:00 15/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 15/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 15/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 15/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [23:00:00 15/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 15/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 15/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 15/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [23:00:00 15/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [23:00:00 15/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 143 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [23:00:00 15/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [23:00:00 15/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 15/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 38 u1: BPM st: NotStopd t0: [23:00:00 15/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [23:00:00 15/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [00:00:00 16/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 16/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 16/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 16/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 16/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Pedal v2: 4 mm st: NotStopd t0: [00:00:00 16/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 1 No Response st: NotStopd t0: [00:00:00 16/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 7 u1: points st: NotStopd t0: [00:00:00 16/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [00:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [00:00:00 16/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 16/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 16/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 26 st: NotStopd t0: [00:00:00 16/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 16/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: -1 v2: Left Subclavian st: NotStopd t0: [00:00:00 16/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 31 st: NotStopd t0: [00:00:00 16/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 16/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [00:00:00 16/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 16/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [00:00:00 16/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 16/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 16/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 16/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 16/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Thrush st: NotStopd t0: [00:00:00 16/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 130 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [00:00:00 16/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 16/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 16/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 16/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 16/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 16/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [00:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [00:00:00 16/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 16/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 16/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 16/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [00:00:00 16/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [00:00:00 16/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 16/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [00:00:00 16/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [00:00:00 16/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 16/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 16/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [01:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 16/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [01:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 16/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [01:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [01:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [01:00:00 16/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [01:00:00 16/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [01:00:00 16/09/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [01:00:00 16/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [01:00:00 16/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [01:00:00 16/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [01:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [01:00:00 16/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [01:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [01:00:00 16/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [01:00:00 16/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [01:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 16/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [02:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [02:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [02:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [02:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [02:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [02:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 16/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [03:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [03:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [03:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [03:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [03:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [03:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 16/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [04:00:00 16/09/2016] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 16/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 16/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 16/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 16/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Pedal v2: 4 mm st: NotStopd t0: [04:00:00 16/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 1 No Response st: NotStopd t0: [04:00:00 16/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 7 u1: points st: NotStopd t0: [04:00:00 16/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 16/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [04:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [04:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 16/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 16/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 16/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 26 st: NotStopd t0: [04:00:00 16/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 16/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: -1 v2: Left Subclavian st: NotStopd t0: [04:00:00 16/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: -1 v1: 7 v2: 31 st: NotStopd t0: [04:00:00 16/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 16/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [04:00:00 16/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 16/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 16/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 16/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [04:00:00 16/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 16/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 16/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 16/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 16/09/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Thrush st: NotStopd t0: [04:00:00 16/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 16/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 109 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [04:00:00 16/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 16/09/2016] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 16/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 16/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 16/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 16/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Tachypneic st: NotStopd t0: [04:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [04:00:00 16/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 16/09/2016] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 16/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 16/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 16/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [04:00:00 16/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 16/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [04:00:00 16/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [04:00:00 16/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 16/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 16/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 16/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 16/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 16/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [05:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 16/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [05:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [05:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [05:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [05:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 62.28 vu: ml t0: [22:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 117 vo: 40 vu: ml t0: [22:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 650 vu: ml t0: [22:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 75 vu: ml t0: [23:00:00 15/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 62.28 vu: ml t0: [23:00:00 15/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 117 vo: 40 vu: ml t0: [23:00:00 15/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 550 vu: ml t0: [23:00:00 15/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 75 vu: ml t0: [00:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 62.28 vu: ml t0: [00:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 340 vu: ml t0: [00:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 75 vu: ml t0: [01:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 62.28 vu: ml t0: [01:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 280 vu: ml t0: [01:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 75 vu: ml t0: [02:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 62.28 vu: ml t0: [02:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 190 vu: ml t0: [02:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 75 vu: ml t0: [03:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 62.28 vu: ml t0: [03:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 200 vu: ml t0: [03:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 75 vu: ml t0: [04:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 62.28 vu: ml t0: [04:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 190 vu: ml t0: [04:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 75 vu: ml t0: [05:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 62.28 vu: ml t0: [05:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 80 vu: ml t0: [05:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 75 vu: ml
t0: [22:00:00 15/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 15/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 16/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 16/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 16/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 16/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 16/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 16/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 14/09/2016] id: Previous WeightF el: 0 cu: MICU cg: 1663 u1: kg st: NotStopd t0: [03:00:00 15/09/2016] id: Previous WeightF el: 0 cu: MICU cg: 1663 u1: kg st: NotStopd t0: [05:00:00 15/09/2016] id: Previous Weight el: 0 cu: MICU cg: 1663 v1: 178.7 u1: kg st: NotStopd t0: [05:00:00 15/09/2016] id: Previous WeightF el: 0 cu: MICU cg: 1663 u1: kg st: NotStopd t0: [06:20:00 16/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [06:20:00 16/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [06:20:00 16/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [06:20:00 16/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [06:20:00 16/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [06:20:00 16/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd
t0: [06:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [06:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [06:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [06:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 62.28 vu: ml t0: [06:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 90 vu: ml t0: [06:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 75 vu: ml
t0: [06:00:00 16/09/2016] id: Propofol el: 1 cu: MICU so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:11:00 16/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8.7 rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 8.7 rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 29 u1: % rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.7 u1: gm/dl rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 295 rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.66 u1: /mic l rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8.7 rs: Final st: NotStopd
t0: [06:11:00 16/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 129 rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 129 rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:11:00 16/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [08:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [08:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 150 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [08:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [08:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vu: ml t0: [01:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vu: ml t0: [02:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vu: ml t0: [03:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vu: ml t0: [04:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vu: ml t0: [05:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vu: ml t0: [06:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vu: ml t0: [08:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 124.56 vu: ml t0: [08:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml t0: [08:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 150 vu: ml
t0: [08:00:00 16/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 16/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [08:00:00 16/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 16/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 16/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 16/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 16/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [08:00:00 16/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 16/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.8 u1: Deg. C st: NotStopd t0: [08:00:00 16/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:00:00 16/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [08:00:00 16/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 16/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [08:00:00 16/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9 u1: L/min st: NotStopd t0: [08:00:00 16/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 16/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 16/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [08:00:00 16/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 16/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 16/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 16/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [08:00:00 16/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 16/09/2016] id: Ventilator No. el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 16/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 16/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 16/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 16/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 16/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 16/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [08:00:00 16/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 16/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 16/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 16/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 16/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [08:00:00 16/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v2: Left Subclavian st: NotStopd t0: [08:00:00 16/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [08:00:00 16/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 16/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 16/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 16/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 16/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 16/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 16/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 16/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 16/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 16/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 16/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [08:00:00 16/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 16/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 16/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 16/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 16/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 16/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [08:00:00 16/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [08:00:00 16/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 16/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 16/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 16/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [08:00:00 16/09/2016] tf: [15:00:00 17/09/2016] dt: 1860 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 3 vu: ml t0: [08:00:00 16/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [09:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [09:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [09:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [09:00:00 16/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [10:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [10:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [10:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 16/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [11:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 87 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [11:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [11:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [11:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 16/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 16/09/2016] id: Procedures el: 0 cu: MICU cg: RN st: NotStopd
t0: [11:00:00 16/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [11:00:00 16/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 16/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 16/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [11:00:00 16/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [11:00:00 16/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [11:00:00 16/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 16/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.8 u1: Deg. C st: NotStopd t0: [11:00:00 16/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [11:00:00 16/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [11:00:00 16/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [11:00:00 16/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.7 u1: L/min st: NotStopd t0: [11:00:00 16/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:00:00 16/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [11:00:00 16/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [11:00:00 16/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [11:00:00 16/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [11:00:00 16/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:00:00 16/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [11:30:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:30:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:30:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:30:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:30:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [11:30:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [11:30:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [11:30:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:30:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [11:30:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [11:30:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 16/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [12:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [12:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [12:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [12:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 16/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 133 rs: Manual st: NotStopd
t0: [09:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 62.28 vu: ml t0: [09:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml t0: [11:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 124.56 vu: ml t0: [11:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 0 vu: ml nb: 1 t0: [11:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 150 vu: ml t0: [12:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [12:00:00 16/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [11:00:00 17/09/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [13:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [13:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [13:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [13:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [13:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [14:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [14:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [14:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [14:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 16/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 16/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [14:00:00 16/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [14:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 16/09/2016] tf: [00:00:00 19/09/2016] dt: 3600 id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [13:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [14:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 156.219 vu: ml t0: [14:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [14:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml t0: [14:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 225 vu: ml
t0: [13:00:00 16/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 16/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [16:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [16:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 37 u1: BPM st: NotStopd t0: [16:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [16:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [16:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100.063 vu: ml t0: [16:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [16:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml t0: [16:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 150 vu: ml
t0: [16:00:00 16/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [13:00:00 22/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 125 u1: mg
t0: [16:00:00 16/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [16:00:00 16/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 16/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 16/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 16/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 16/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [16:00:00 16/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 16/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.8 u1: Deg. C st: NotStopd t0: [16:00:00 16/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:00:00 16/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [16:00:00 16/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 16/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13 u1: L/min st: NotStopd t0: [16:00:00 16/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [16:00:00 16/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 16/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 16/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [16:00:00 16/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [16:00:00 16/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [16:00:00 16/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 16/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [16:00:00 16/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 16/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
tf: [16:00:00 17/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 17 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml tf: [16:00:00 17/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 17 dn: 1 m1: Furosemide v1: 80 u1: mg
t0: [11:00:00 16/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [17:00:00 16/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [17:00:00 16/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 16/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [17:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 16/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [17:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 16/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [17:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 16/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [17:00:00 16/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [17:00:00 16/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [17:00:00 16/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [17:00:00 16/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [17:00:00 16/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 16/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [17:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [17:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 16/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 16/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [17:00:00 16/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 16/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v2: Left Subclavian st: NotStopd t0: [17:00:00 16/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [17:00:00 16/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 16/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [17:00:00 16/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [17:00:00 16/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 16/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 16/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [17:00:00 16/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [17:00:00 16/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [17:00:00 16/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [17:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [17:00:00 16/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 16/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [17:00:00 16/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [17:00:00 16/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 16/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 16/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 16/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 16/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [17:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [17:00:00 16/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 16/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [17:00:00 16/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [17:00:00 16/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 16/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [17:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 16/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [17:00:00 16/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [17:00:00 16/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 16/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 16/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [17:00:00 16/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [17:00:00 16/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [17:00:00 16/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [17:00:00 16/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [17:00:00 16/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [17:00:00 16/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [17:00:00 16/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [17:00:00 16/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 16/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [17:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 50.0316 vu: ml t0: [17:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [17:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [17:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [17:00:00 16/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 16/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 100 ap: none
t0: [18:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [18:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [18:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [18:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [18:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 16/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 130 rs: Manual st: NotStopd
t0: [18:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 50.0316 vu: ml t0: [18:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [18:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 38 vu: ml t0: [18:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [18:00:00 16/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 16/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [19:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [19:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [19:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [19:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 39 u1: BPM st: NotStopd t0: [19:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [19:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:30:00 16/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [19:30:00 16/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [19:30:00 16/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [19:30:00 16/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [19:30:00 16/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [19:30:00 16/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [19:30:00 16/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [19:30:00 16/09/2016] id: Turn el: 0 cu: MICU cg: RN st: NotStopd t0: [19:30:00 16/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [19:00:00 16/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 16/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 19 t0: [20:00:00 16/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 16/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 16/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 16/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 16/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:00:00 16/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 16/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.8 u1: Deg. C st: NotStopd t0: [20:00:00 16/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 16/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [20:00:00 16/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 16/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.8 u1: L/min st: NotStopd t0: [20:00:00 16/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 16/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 16/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [20:00:00 16/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [20:00:00 16/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [20:00:00 16/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 16/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 93 u1: % st: NotStopd t0: [20:00:00 16/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Plug st: NotStopd t0: [20:00:00 16/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [20:00:00 16/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [20:00:00 16/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [20:00:00 16/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 16/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [19:30:00 16/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 16/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 16/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 16/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 16/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 16/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 16/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [20:00:00 16/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 16/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 16/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 16/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [20:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 16/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 16/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [20:00:00 16/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 16/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [20:00:00 16/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 16/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 16/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 16/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 16/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 16/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 16/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 16/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 16/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 16/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 16/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 16/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 16/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [20:00:00 16/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [20:00:00 16/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 16/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 16/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 16/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 16/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 16/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 16/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [20:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [20:00:00 16/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 16/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 16/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 16/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 16/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 16/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 16/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [20:00:00 16/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [20:00:00 16/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 16/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 16/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 16/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 16/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 16/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 16/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 16/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 16/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [20:00:00 16/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 16/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 16/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 16/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [20:00:00 16/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [20:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100.063 vu: ml t0: [20:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 80 vu: ml t0: [20:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml t0: [20:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 150 vu: ml
t0: [20:00:00 16/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:30:00 16/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: None/Remarks st: NotStopd
t0: [21:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [21:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [21:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [21:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [21:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 16/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [21:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 50.0316 vu: ml t0: [21:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [21:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml t0: [21:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [21:00:00 16/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 16/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 16/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [22:00:00 16/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 16/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [22:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [22:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [22:00:00 16/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 16/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 16/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:00:00 16/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 16/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 16/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 16/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 50.0316 vu: ml t0: [22:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [22:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 540 vu: ml t0: [22:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [22:00:00 16/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 16/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 16/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 16/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 16/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 16/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 16/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [23:00:00 16/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 16/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [23:00:00 16/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:00:00 16/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 16/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [23:00:00 16/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 93 u1: % st: NotStopd t0: [23:00:00 16/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 16/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 50.0316 vu: ml t0: [23:00:00 16/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [23:00:00 16/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 500 vu: ml t0: [23:00:00 16/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 75 vu: ml
t0: [23:00:00 16/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 16/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 500 cv: 500 ap: none t0: [23:00:00 16/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -334.968 cv: -334.968 ap: none t0: [23:00:00 16/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 125.032 cv: 3303.86 ap: none t0: [23:00:00 16/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 165.032 cv: 3883.86 ap: none t0: [23:00:00 16/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 40 cv: 480 ap: none t0: [23:00:00 16/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 500 cv: 3468 ap: none t0: [23:00:00 16/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -334.968 cv: 415.864 ap: none t0: [23:00:00 16/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 500 cv: 3468 ap: none
t0: [00:00:00 17/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 17/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 17/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 17/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 17/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 17/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 17/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [00:00:00 17/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 17/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 17/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 17/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [00:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 17/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 17/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 17/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [00:00:00 17/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 17/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [00:00:00 17/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 17/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 17/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 17/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 17/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 17/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 17/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 17/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 17/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 17/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 17/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [00:00:00 17/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 17/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 17/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 17/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 17/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 17/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [00:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 38 u1: BPM st: NotStopd t0: [00:00:00 17/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 17/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 17/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 17/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 17/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 93 u1: % st: NotStopd t0: [00:00:00 17/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 17/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 17/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [00:00:00 17/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [00:00:00 17/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 17/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 17/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 17/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 17/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [00:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 50.0316 vu: ml t0: [00:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 40 vu: ml t0: [00:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 550 vu: ml t0: [00:00:00 17/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml
t0: [00:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 17/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 55 vu: ml
t0: [23:00:00 17/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 95 ap: none
t0: [00:00:00 17/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 17/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 17/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 17/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 17/09/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Pan Cultured st: NotStopd t0: [00:00:00 17/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [00:00:00 17/09/2016] id: Turn el: 0 cu: MICU cg: RN st: NotStopd t0: [00:00:00 17/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 126 rs: Manual st: NotStopd
t0: [00:00:00 17/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 19 t0: [00:00:00 17/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 17/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 17/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 17/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 17/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [00:00:00 17/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 17/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.8 u1: Deg. C st: NotStopd t0: [00:00:00 17/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 17/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [00:00:00 17/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 17/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 17/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 15.9 u1: L/min st: NotStopd t0: [00:00:00 17/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 17/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 17/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [00:00:00 17/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 31 u1: BPM st: NotStopd t0: [00:00:00 17/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 17/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Tenacious st: NotStopd t0: [00:00:00 17/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 17/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [00:00:00 17/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 17/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [01:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [01:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [01:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [01:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 90 u1: % st: NotStopd t0: [01:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 50.0316 vu: ml t0: [01:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [01:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 260 vu: ml t0: [01:00:00 17/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml
t0: [01:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 17/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Distraction st: NotStopd t0: [02:00:00 17/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 17/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [02:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [02:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [02:00:00 17/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 17/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 17/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [02:00:00 17/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 17/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 17/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 17/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 91 u1: % st: NotStopd t0: [02:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 50.0316 vu: ml t0: [02:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [02:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml t0: [02:00:00 17/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml
t0: [02:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:14:00 17/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [02:14:00 17/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [02:14:00 17/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [02:14:00 17/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [02:14:00 17/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 77 u1: mmHg rs: Final st: NotStopd t0: [02:14:00 17/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [03:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [03:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [03:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [03:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [03:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [03:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 50.0316 vu: ml t0: [03:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [03:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [03:00:00 17/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml
t0: [03:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 17/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 240 cv: 240 ap: none t0: [23:00:00 17/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -127.91 cv: -127.91 ap: none t0: [23:00:00 17/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 62.09 cv: 2156.7 ap: none t0: [23:00:00 17/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 112.09 cv: 3441.7 ap: none t0: [23:00:00 17/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 50 cv: 1190 ap: none t0: [23:00:00 17/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 240 cv: 4950 ap: none t0: [23:00:00 17/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -127.91 cv: -1508.3 ap: none t0: [23:00:00 17/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 240 cv: 4950 ap: none t0: [23:00:00 17/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -127.91 cv: -1939.19 ap: carryForward
t0: [04:00:00 17/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 17/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 17/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 17/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 17/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 17/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 17/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 17/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [04:00:00 17/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 17/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 17/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 17/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [04:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 17/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 17/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 17/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [04:00:00 17/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 17/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [04:00:00 17/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 17/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 17/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 17/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 17/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 17/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 17/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 17/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 17/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 17/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 17/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 17/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 17/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [04:00:00 17/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 17/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 17/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 17/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 17/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 17/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 17/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 17/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [04:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [04:00:00 17/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 17/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 17/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 17/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 17/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 17/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 17/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 17/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5556 u1: Deg. C st: NotStopd t0: [04:00:00 17/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.4 u1: Deg. F st: NotStopd t0: [04:00:00 17/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 17/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 17/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 17/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 17/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 50.0316 vu: ml t0: [04:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [04:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml t0: [04:00:00 17/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml
t0: [04:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 17/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 17/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [04:00:00 17/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 17/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 17/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 17/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 17/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:00:00 17/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 17/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.9 u1: Deg. C st: NotStopd t0: [04:00:00 17/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 17/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 17/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 17/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [04:00:00 17/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.3 u1: L/min st: NotStopd t0: [04:00:00 17/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 17/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 17/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [04:00:00 17/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [04:00:00 17/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 17/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:00:00 17/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 17/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [04:00:00 17/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 17/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [04:20:00 17/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8.3 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 8.3 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 29.5 u1: % rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.7 u1: gm/dl rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 293 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.81 u1: /mic l rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8.3 rs: Final st: NotStopd
t0: [05:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 17/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [05:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 17/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 153 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [05:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [05:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [05:00:00 17/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 17/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 17/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done
t0: [04:00:00 17/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [05:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 50.0316 vu: ml t0: [05:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [05:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [05:00:00 17/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml
t0: [05:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:20:00 17/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 133 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 133 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [04:20:00 17/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.9 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.9 rs: Final st: NotStopd
t0: [05:00:00 17/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 17/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 17/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [05:00:00 17/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 17/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [05:00:00 17/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [05:00:00 17/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd
t0: [06:00:00 17/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [06:00:00 17/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 17/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [06:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [06:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [06:00:00 17/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 17/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 17/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [06:00:00 17/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 17/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 17/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 17/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 17/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [06:00:00 17/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 17/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [06:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 50.0316 vu: ml t0: [06:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [06:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [06:00:00 17/09/2016] id: .45% Normal Saline 750.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 5 vu: ml st: Stopped
t0: [06:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:45:00 17/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml
t0: [08:00:00 17/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 17/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 17/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 17/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 17/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 17/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 17/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 17/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [08:00:00 17/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 17/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 17/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 17/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 17/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [08:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 17/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 17/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [08:00:00 17/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 17/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [08:00:00 17/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 17/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 17/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 17/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 17/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 17/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 17/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 17/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 17/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 17/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 17/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [08:00:00 17/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 17/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 17/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 17/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 17/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [08:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [08:00:00 17/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [08:00:00 17/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 17/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 17/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 17/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 17/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 17/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 17/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 17/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 17/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 17/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 17/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 17/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 17/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 17/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 17/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 17/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 17/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 17/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 17/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 17/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [08:00:00 17/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [08:00:00 17/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 17/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 17/09/2016] id: BSA - English el: 0 cu: MICU cg: RN v1: 2.01841 u1: m2 st: NotStopd t0: [08:00:00 17/09/2016] id: BSA - Metric el: 0 cu: MICU cg: RN v1: 2.33149 u1: m2 st: NotStopd t0: [08:00:00 17/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 17/09/2016] id: Daily Weight el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [08:00:00 17/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 17/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 17/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 17/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 17/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 17/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 17/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 17/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 17/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 17/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [08:00:00 17/09/2016] tf: [05:00:00 22/09/2016] dt: 7020 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [08:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 100 vu: ml t0: [08:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 245 vu: ml
t0: [08:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 17/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml
t0: [09:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 17/09/2016] id: ETT Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [09:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [09:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [09:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 17/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [09:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 17/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [09:00:00 17/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 50.0316 vu: ml t0: [09:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [09:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 125 vu: ml
t0: [09:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:00:00 17/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [09:00:00 17/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 17/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [09:00:00 17/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [09:00:00 17/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [09:00:00 17/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 17/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [09:00:00 17/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [09:00:00 17/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [09:00:00 17/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [09:00:00 17/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [09:00:00 17/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [09:00:00 17/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 17/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [09:00:00 17/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [09:00:00 17/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [09:00:00 17/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 17/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [09:00:00 17/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [09:00:00 17/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [10:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [10:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [10:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 17/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [10:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 17/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 50.0316 vu: ml t0: [10:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [10:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [10:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48.2 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 17/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [11:00:00 17/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [11:00:00 17/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 17/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [11:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 17/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [11:00:00 17/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [11:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 17/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [11:00:00 17/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [11:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 17/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [11:00:00 17/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 17/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [11:00:00 17/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [11:00:00 17/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [11:00:00 17/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 17/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [11:00:00 17/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [11:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 17/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [11:00:00 17/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 17/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [11:00:00 17/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [11:00:00 17/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [11:00:00 17/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [11:00:00 17/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [11:00:00 17/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [11:00:00 17/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [11:00:00 17/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [11:00:00 17/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [11:00:00 17/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [11:00:00 17/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [11:00:00 17/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 17/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 17/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [11:00:00 17/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [11:00:00 17/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [11:00:00 17/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 17/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [11:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [11:00:00 17/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [11:00:00 17/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 17/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [11:00:00 17/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [11:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 17/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [11:00:00 17/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [11:00:00 17/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [11:00:00 17/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [11:00:00 17/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 17/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 17/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [11:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:00:00 17/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [11:00:00 17/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [11:00:00 17/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [11:00:00 17/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 17/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [11:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [11:00:00 17/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [11:00:00 17/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [11:00:00 17/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [11:00:00 17/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [11:00:00 17/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 17/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [11:00:00 17/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [11:00:00 17/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [11:00:00 17/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 17/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: done t0: [11:00:00 17/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [11:00:00 17/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [11:00:00 17/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 50.0316 vu: ml t0: [11:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [11:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [11:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:00:00 17/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd
t0: [12:00:00 17/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 150 rs: Manual st: NotStopd
tf: [08:00:00 19/09/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [19:00:00 19/09/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Ciprofloxacin v1: 400 u1: mg m2: D5W v2: 200 u2: ml tf: [08:00:00 22/09/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 6, 14, 22 dn: 3 m1: Gentamicin v1: 120 u1: mg m2: Isotonic Sodium Chloride v2: 100 u2: ml
t0: [12:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [12:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 17/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [12:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [12:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 17/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [12:00:00 17/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.52 vu: ml t0: [12:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [12:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [12:00:00 17/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 17/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [11:00:00 17/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN st: NotStopd
t0: [12:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 17/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [13:00:00 17/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [13:00:00 17/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.2 u1: Deg. F st: NotStopd
t0: [12:00:00 17/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm st: NotStopd t0: [12:00:00 17/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 17/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [12:00:00 17/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:30:00 17/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [12:30:00 17/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:30:00 17/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:30:00 17/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:30:00 17/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [12:30:00 17/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [12:30:00 17/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:30:00 17/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:30:00 17/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [12:30:00 17/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [12:30:00 17/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:30:00 17/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [12:30:00 17/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [12:30:00 17/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:30:00 17/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:30:00 17/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [12:30:00 17/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:30:00 17/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:30:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [12:30:00 17/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [12:30:00 17/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:30:00 17/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [13:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [13:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [13:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [13:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 17/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [13:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [13:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 17/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 49.824 vu: ml t0: [13:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [13:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [13:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:09:00 17/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [13:09:00 17/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [13:09:00 17/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [13:09:00 17/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [13:09:00 17/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 115 u1: mmHg rs: Final st: NotStopd t0: [13:09:00 17/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.49 rs: Final st: NotStopd
t0: [13:30:00 17/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [13:30:00 17/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:30:00 17/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [13:30:00 17/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [13:30:00 17/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [13:30:00 17/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:30:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [13:30:00 17/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [04:20:00 17/09/2016] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 12 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 8 rs: Final st: NotStopd t0: [04:20:00 17/09/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 78 rs: Final st: NotStopd
t0: [14:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [14:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [14:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 17/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [14:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 17/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 49.824 vu: ml t0: [14:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [14:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [14:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:45:00 17/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.9 rs: Final st: NotStopd t0: [14:45:00 17/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 9.9 rs: Final st: NotStopd t0: [14:45:00 17/09/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [14:45:00 17/09/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [14:45:00 17/09/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 11.7 rs: Final st: NotStopd t0: [14:45:00 17/09/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 5.5 rs: Final st: NotStopd t0: [14:45:00 17/09/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 79.9 rs: Final st: NotStopd t0: [14:45:00 17/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.2 u1: % rs: Final st: NotStopd t0: [14:45:00 17/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [14:45:00 17/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 311 rs: Final st: NotStopd t0: [14:45:00 17/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.85 u1: /mic l rs: Final st: NotStopd t0: [14:45:00 17/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.9 rs: Final st: NotStopd
t0: [15:00:00 17/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [15:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 17/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [15:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 17/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [15:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [15:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 17/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [15:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 17/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 17/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [15:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 17/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [15:00:00 17/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 49.824 vu: ml t0: [15:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [15:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [15:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 17/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [15:00:00 17/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml
t0: [13:00:00 17/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [13:00:00 17/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 17/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [13:00:00 17/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 17/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [13:00:00 17/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 17/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [13:00:00 17/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [13:00:00 17/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [13:00:00 17/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 17/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [15:00:00 17/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 17/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [15:00:00 17/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [15:00:00 17/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [15:00:00 17/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 17/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [15:00:00 17/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [15:00:00 17/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [15:00:00 17/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [15:00:00 17/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 17/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [15:00:00 17/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:00:00 17/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 17/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [15:00:00 17/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 17/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [15:00:00 17/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [15:00:00 17/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 17/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [15:00:00 17/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 17/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [15:00:00 17/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [15:00:00 17/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [15:00:00 17/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [15:00:00 17/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [15:00:00 17/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 17/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 17/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 17/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [15:00:00 17/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [15:00:00 17/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 17/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [15:00:00 17/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 17/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [15:00:00 17/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 17/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 17/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [15:00:00 17/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [15:00:00 17/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 17/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 17/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [15:00:00 17/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 17/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 17/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [15:00:00 17/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 17/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 17/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [15:00:00 17/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 17/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [15:00:00 17/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [15:00:00 17/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [15:00:00 17/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 17/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 17/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 17/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [15:00:00 17/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [15:00:00 17/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [15:00:00 17/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [15:00:00 17/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [15:00:00 17/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [15:00:00 17/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [15:00:00 17/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [14:45:00 17/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [14:45:00 17/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd
t0: [16:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 17/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [16:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 17/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 17/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 17/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [16:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [16:00:00 17/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 17/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [16:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 17/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [16:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 17/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 17/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 17/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [16:00:00 17/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [16:00:00 17/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 17/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 17/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: done
t0: [16:00:00 17/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 49.824 vu: ml t0: [16:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [16:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [16:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [17:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [17:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [17:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 17/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [17:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 17/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 49.824 vu: ml t0: [17:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [17:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 65 vu: ml
t0: [17:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 17/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
tf: [16:00:00 18/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 17 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 25 u2: ml tf: [16:00:00 18/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 17 dn: 1 m1: Furosemide v1: 80 u1: mg
t0: [16:00:00 17/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [16:00:00 17/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd
t0: [17:00:00 17/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [17:00:00 17/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 17/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 17/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [17:00:00 17/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [17:00:00 17/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [17:00:00 17/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 17/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:00:00 17/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [17:00:00 17/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [17:00:00 17/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [17:00:00 17/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9 u1: L/min st: NotStopd t0: [17:00:00 17/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 17/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [17:00:00 17/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [17:00:00 17/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [17:00:00 17/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 17/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [17:00:00 17/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 17/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [17:00:00 17/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 17/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [17:00:00 17/09/2016] id: MDI #2 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd
t0: [18:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [18:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [18:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [18:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 17/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [18:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 17/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 17/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [18:00:00 17/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [18:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 17/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 134 rs: Manual st: NotStopd
t0: [18:00:00 17/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 25 vu: ml t0: [18:00:00 17/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 49.824 vu: ml t0: [18:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [18:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [18:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [19:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [19:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [19:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 17/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [19:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [19:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 17/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [19:00:00 17/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 49.824 vu: ml t0: [19:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [19:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 380 vu: ml
t0: [19:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 48 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 17/09/2016] id: BIPAP - BPM el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 17/09/2016] id: BIPAP - EPAP el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 17/09/2016] id: BIPAP - Est. Vt el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 17/09/2016] id: BIPAP - IPAP el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 17/09/2016] id: BIPAP - O2 lpm el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 17/09/2016] id: BIPAP-Mode el: 0 cu: MICU cg: -1 st: D/C'd
t0: [20:00:00 17/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 17/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 17/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 17/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 17/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 17/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 17/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [20:00:00 17/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 17/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 17/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 17/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 17/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [20:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 17/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 17/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [20:00:00 17/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 17/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [20:00:00 17/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 17/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 17/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 17/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 17/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 17/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 17/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 17/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 17/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 17/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 17/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 17/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [20:00:00 17/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 17/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 17/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 17/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 17/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [20:00:00 17/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 150 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [20:00:00 17/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [20:00:00 17/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 17/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 17/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [20:00:00 17/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 17/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 17/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 17/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 17/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 17/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 17/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [20:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 41 u1: BPM st: NotStopd t0: [20:00:00 17/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 17/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 17/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 17/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 17/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 17/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 17/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 17/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [20:00:00 17/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [20:00:00 17/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 17/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [20:00:00 17/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 17/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 17/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 17/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 17/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 17/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 17/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 17/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 17/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 17/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 17/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 17/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [20:00:00 17/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 49.824 vu: ml t0: [20:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [20:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 670 vu: ml
t0: [20:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 17/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 17/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [20:40:00 17/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 40.625 u1: ml/cmH st: NotStopd t0: [20:40:00 17/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [20:40:00 17/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:40:00 17/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:40:00 17/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:40:00 17/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:40:00 17/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:1.3 st: NotStopd t0: [20:40:00 17/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:40:00 17/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:40:00 17/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:40:00 17/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:40:00 17/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 8 st: NotStopd t0: [20:40:00 17/09/2016] id: MDI #2 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 10 v2: Combivent st: NotStopd t0: [20:40:00 17/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [20:40:00 17/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [20:40:00 17/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:40:00 17/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:40:00 17/09/2016] id: Peak Flow el: 0 cu: MICU cg: RRT u1: L/m st: NotStopd t0: [20:40:00 17/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [20:40:00 17/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [20:40:00 17/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [20:40:00 17/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [20:40:00 17/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [20:40:00 17/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:40:00 17/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:40:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [20:40:00 17/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [20:40:00 17/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [20:40:00 17/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 635 u1: ml/B st: NotStopd t0: [20:40:00 17/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [20:40:00 17/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [20:40:00 17/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:40:00 17/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [21:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [21:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [21:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 17/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [21:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [21:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 17/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 57.09 vu: ml t0: [21:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [21:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 625 vu: ml
t0: [21:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:31:00 17/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [21:31:00 17/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [21:31:00 17/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [21:31:00 17/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [21:31:00 17/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 111 u1: mmHg rs: Final st: NotStopd t0: [21:31:00 17/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [22:00:00 17/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [22:00:00 17/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 17/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [22:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [22:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [22:00:00 17/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 17/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [22:00:00 17/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 17/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 17/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 17/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 17/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 17/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 17/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 17/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 57.09 vu: ml t0: [22:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [22:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 280 vu: ml
t0: [22:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 17/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd
t0: [23:00:00 17/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 17/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 17/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 17/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [23:00:00 17/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 17/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [23:00:00 17/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 17/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [23:00:00 17/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [23:00:00 17/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 17/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [23:00:00 17/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 17/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 17/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 17/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 17/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 57.09 vu: ml t0: [23:00:00 17/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [23:00:00 17/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [23:00:00 17/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 17/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [23:00:00 17/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [23:00:00 17/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd
t0: [00:00:00 18/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 18/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 18/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 18/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 18/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 18/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 18/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 18/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 18/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [00:00:00 18/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 18/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 18/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 18/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 18/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [00:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 18/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 18/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 18/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [00:00:00 18/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 18/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [00:00:00 18/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 18/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 18/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 18/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 18/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 18/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 18/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 18/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 18/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 18/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 18/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 18/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 18/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [00:00:00 18/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 18/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 18/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 18/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 18/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [00:00:00 18/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 18/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [00:00:00 18/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 18/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [00:00:00 18/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 18/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 18/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 18/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 18/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 18/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 18/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 18/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 18/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 18/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 18/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 18/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 18/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 18/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [00:00:00 18/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 18/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 18/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 18/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 18/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 137 rs: Manual st: NotStopd t0: [00:00:00 18/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 18/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [00:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 57.09 vu: ml t0: [00:00:00 18/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 90 vu: ml t0: [00:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [00:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 260 vu: ml
t0: [00:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 18/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 270 ap: none
t0: [00:01:00 18/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [00:01:00 18/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 rs: Final st: NotStopd
t0: [01:00:00 18/09/2016] id: Plateau-Off el: 0 cu: MICU cg: -1 st: D/C'd
t0: [01:07:00 18/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.2353 u1: ml/cmH st: NotStopd t0: [01:07:00 18/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [01:07:00 18/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [01:07:00 18/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:07:00 18/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [01:07:00 18/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [01:07:00 18/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3 st: NotStopd t0: [01:07:00 18/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [01:07:00 18/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:07:00 18/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [01:07:00 18/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [01:07:00 18/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [01:07:00 18/09/2016] id: MDI #2 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [01:07:00 18/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [01:07:00 18/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.92 u1: L/min st: NotStopd t0: [01:07:00 18/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:07:00 18/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [01:07:00 18/09/2016] id: Peak Flow el: 0 cu: MICU cg: RRT u1: L/m st: NotStopd t0: [01:07:00 18/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [01:07:00 18/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [01:07:00 18/09/2016] id: Auto-PEEP Level el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [01:07:00 18/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [01:07:00 18/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [01:07:00 18/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:07:00 18/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:07:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [01:07:00 18/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [01:07:00 18/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [01:07:00 18/09/2016] id: Total PEEP Level el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:07:00 18/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [01:07:00 18/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [01:07:00 18/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [01:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [01:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [01:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [01:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [01:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 57.09 vu: ml t0: [01:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [01:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [01:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:55:00 18/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [00:55:00 18/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 rs: Final st: NotStopd
t0: [01:20:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [02:00:00 18/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [02:00:00 18/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 18/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [02:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [02:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [02:00:00 18/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [02:00:00 18/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 18/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 18/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 18/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 18/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 18/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml t0: [02:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 57.09 vu: ml t0: [02:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [02:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 12 vu: ml
t0: [02:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:30:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [03:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [03:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [03:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [03:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [03:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 57.09 vu: ml t0: [03:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [03:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [03:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 18/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 240 cv: 240 ap: none t0: [23:00:00 18/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -88.29 cv: -88.29 ap: none t0: [23:00:00 18/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 101.71 cv: 2658.5 ap: none t0: [23:00:00 18/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 151.71 cv: 4128.5 ap: none t0: [23:00:00 18/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 50 cv: 1200 ap: none t0: [23:00:00 18/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 240 cv: 4102 ap: none t0: [23:00:00 18/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -88.29 cv: 26.4996 ap: none t0: [23:00:00 18/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 240 cv: 4102 ap: none t0: [23:00:00 18/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -88.29 cv: -1912.69 ap: carryForward
t0: [03:30:00 18/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [03:30:00 18/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [04:00:00 18/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 18/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 18/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 18/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 18/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 18/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 18/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 18/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 18/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [04:00:00 18/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 18/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 18/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 18/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 18/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [04:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 18/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 18/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 18/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [04:00:00 18/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 18/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 18/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [04:00:00 18/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 18/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 18/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 18/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 18/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 18/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 18/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 18/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 18/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 18/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 18/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 18/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 18/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 18/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [04:00:00 18/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 18/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 18/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 18/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 18/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [04:00:00 18/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [04:00:00 18/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [04:00:00 18/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 18/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 18/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [04:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [04:00:00 18/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 18/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 18/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 18/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 18/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 18/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 18/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 18/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 18/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 18/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 18/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 18/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 18/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 18/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 18/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [04:00:00 18/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [04:00:00 18/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 18/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 18/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 18/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 18/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 18/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [04:00:00 18/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 18/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [03:30:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 18/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [04:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 57.09 vu: ml t0: [04:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [04:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [04:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:30:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [05:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [05:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [05:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 48 u1: mmHg st: NotStopd t0: [05:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [05:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 57.09 vu: ml t0: [05:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [05:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [05:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 18/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd
t0: [04:55:00 18/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.9 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 9.9 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 10.9 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 82 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 27.7 u1: % rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.5 u1: gm/dl rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 298 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.52 u1: /mic l rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.9 rs: Final st: NotStopd
t0: [04:55:00 18/09/2016] id: PT el: 0 cu: MICU cg: 1663 v1: 13.7 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.7 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd
t0: [05:39:00 18/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.2353 u1: ml/cmH st: NotStopd t0: [05:39:00 18/09/2016] id: RSBI (<100) el: 0 cu: MICU cg: RRT u1: units st: NotStopd t0: [05:39:00 18/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [05:39:00 18/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:39:00 18/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:39:00 18/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [05:39:00 18/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [05:39:00 18/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3 st: NotStopd t0: [05:39:00 18/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [05:39:00 18/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:39:00 18/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.9 u1: Deg. C st: NotStopd t0: [05:39:00 18/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [05:39:00 18/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [05:39:00 18/09/2016] id: MDI #2 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [05:39:00 18/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [05:39:00 18/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.8 u1: L/min st: NotStopd t0: [05:39:00 18/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:39:00 18/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [05:39:00 18/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [05:39:00 18/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [05:39:00 18/09/2016] id: RSBI (<200) el: 0 cu: MICU cg: RRT u1: units st: NotStopd t0: [05:39:00 18/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [05:39:00 18/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [05:39:00 18/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:39:00 18/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:39:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [05:39:00 18/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 685 u1: ml/B st: NotStopd t0: [05:39:00 18/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [05:39:00 18/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [05:39:00 18/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [05:39:00 18/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [06:00:00 18/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [06:00:00 18/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 18/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [06:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [06:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [06:00:00 18/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [06:00:00 18/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 18/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 18/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 18/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 18/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 18/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 18/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 122 rs: Manual st: NotStopd
t0: [06:00:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 150 vu: ml t0: [06:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 57.09 vu: ml t0: [06:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [06:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [06:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:55:00 18/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 131 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 131 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [04:55:00 18/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [07:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [07:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [07:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [07:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 91 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [07:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [07:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [07:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [07:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 57.09 vu: ml t0: [07:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [07:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [07:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:00:00 18/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RN v1: 38.2353 u1: ml/cmH st: NotStopd t0: [07:00:00 18/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [07:00:00 18/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [07:00:00 18/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [07:00:00 18/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [07:00:00 18/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [07:00:00 18/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RN v1: 9.8 u1: L/min st: NotStopd t0: [07:00:00 18/09/2016] id: PEEP Set el: 0 cu: MICU cg: RN v1: 10 u1: cmH2O st: NotStopd t0: [07:00:00 18/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RN v1: 27 u1: cmH2O st: NotStopd t0: [07:00:00 18/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RN v1: 6 u1: BPM st: NotStopd t0: [07:00:00 18/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:00:00 18/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [07:00:00 18/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [07:00:00 18/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 18/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RN v1: 631 u1: ml/B st: NotStopd t0: [07:00:00 18/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RN v1: 650 u1: ml/B st: NotStopd t0: [07:00:00 18/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RN v1: CMV st: NotStopd t0: [07:00:00 18/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [08:00:00 18/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 18/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 18/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [08:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 18/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 18/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [08:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 18/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 18/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 18/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 94 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 18/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [08:00:00 18/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [08:00:00 18/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [08:00:00 18/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [08:00:00 18/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 18/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 18/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [08:00:00 18/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 18/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 18/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [08:00:00 18/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 18/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 0 vu: ml t0: [08:00:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [08:00:00 18/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [08:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [08:00:00 18/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [08:00:00 18/09/2016] id: Pleural fluid. el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [08:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [08:00:00 18/09/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [08:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml t0: [08:00:00 18/09/2016] id: Gastric Oral Gastric el: 1 cu: MICU cg: RN vo: 0 vu: ml
t0: [08:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 42.5 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:00:00 18/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 36.1111 u1: ml/cmH st: NotStopd t0: [09:00:00 18/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [09:00:00 18/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [09:00:00 18/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 18/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [09:00:00 18/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [09:00:00 18/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.0 st: NotStopd t0: [09:00:00 18/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [09:00:00 18/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 18/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [09:00:00 18/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [09:00:00 18/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [09:00:00 18/09/2016] id: MDI #2 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [09:00:00 18/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [09:00:00 18/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.3 u1: L/min st: NotStopd t0: [09:00:00 18/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 18/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [09:00:00 18/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [09:00:00 18/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [09:00:00 18/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [09:00:00 18/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [09:00:00 18/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:00:00 18/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [09:00:00 18/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 18/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 18/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [09:00:00 18/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [09:00:00 18/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [09:00:00 18/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [09:00:00 18/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 18/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 18/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 18/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 18/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 18/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [08:00:00 18/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 18/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 18/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 18/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 18/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [08:00:00 18/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 18/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 18/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [08:00:00 18/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 18/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 18/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 18/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 18/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 18/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 18/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 18/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 18/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 18/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 18/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 18/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 18/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [08:00:00 18/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 18/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 18/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 18/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 18/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 18/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 18/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 18/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 18/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 18/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 18/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 18/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 18/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 18/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 18/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 18/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 18/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 18/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 18/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 18/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 18/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 18/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 18/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 18/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 18/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 18/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 18/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 18/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 18/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd
t0: [09:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [09:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [09:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [09:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [09:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 42.5 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:30:00 18/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [09:30:00 18/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:30:00 18/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [09:30:00 18/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [09:30:00 18/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [09:30:00 18/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:30:00 18/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [09:30:00 18/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [09:30:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [09:30:00 18/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [09:30:00 18/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [09:30:00 18/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [10:26:00 18/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [10:26:00 18/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [10:26:00 18/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 34 rs: Final st: NotStopd t0: [10:26:00 18/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [10:26:00 18/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 81 u1: mmHg rs: Final st: NotStopd t0: [10:26:00 18/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [10:26:00 18/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [10:26:00 18/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd
tf: [11:00:00 19/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 12 dn: 1 m1: Chlorothiazide v1: 125 u1: mg tf: [11:00:00 19/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 12 dn: 1 m1: Furosemide v1: 80 u1: mg tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: Q8H:PRN m1: Lactulose v1: 30 u1: ml tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: QD:PRN m1: Bisacodyl v1: 10 u1: mg tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PR fr: QD:PRN m1: Bisacodyl (Rectal) v1: 10 u1: mg
t0: [08:00:00 18/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [10:00:00 18/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [10:00:00 18/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 18/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [10:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 18/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 18/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [10:00:00 18/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [10:00:00 18/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 18/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [10:00:00 18/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [10:00:00 18/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 18/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [10:00:00 18/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [10:00:00 18/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 18/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 18/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 18/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 18/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 18/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 18/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 18/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [11:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 18/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [11:00:00 18/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [11:00:00 18/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [11:00:00 18/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RN v1: 12 u1: L/min st: NotStopd t0: [11:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [11:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [11:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 177.6 u1: kg st: NotStopd t0: [11:00:00 18/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [11:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [11:00:00 18/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [11:00:00 18/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [11:00:00 18/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RN v1: 410 u1: ml/B st: NotStopd t0: [11:00:00 18/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RN v1: CPAP+PS st: NotStopd t0: [11:00:00 18/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [11:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 18/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 18/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 18/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 18/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 18/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 18/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 18/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 18/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [12:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 18/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [12:00:00 18/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 18/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 18/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 18/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 18/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 18/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [12:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 18/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 18/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 18/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [12:00:00 18/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 18/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 18/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [12:00:00 18/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 18/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 18/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 18/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 18/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [12:00:00 18/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 18/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 18/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 18/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 18/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 18/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 18/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 18/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 18/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [12:00:00 18/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 18/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 18/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 18/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 18/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 96 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [12:00:00 18/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [12:00:00 18/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 18/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 18/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [12:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 18/09/2016] id: Previous Weight el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [12:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [12:00:00 18/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 18/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 18/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 18/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 18/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 18/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 18/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 18/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 18/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 18/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 18/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 18/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [12:00:00 18/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [12:00:00 18/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 18/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 18/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:00:00 18/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [12:00:00 18/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [12:00:00 18/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 18/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 18/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 18/09/2016] id: BSA - English el: 0 cu: MICU cg: RN v1: 1.98353 u1: m2 st: NotStopd t0: [12:00:00 18/09/2016] id: BSA - Metric el: 0 cu: MICU cg: RN v1: 2.29211 u1: m2 st: NotStopd t0: [12:00:00 18/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 18/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/09/2016] id: Weight Change el: 0 cu: MICU cg: RN v1: 0 u1: kg st: NotStopd t0: [12:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 18/09/2016] id: Daily Weight el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [12:00:00 18/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: done t0: [12:00:00 18/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 18/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 143 rs: Manual st: NotStopd t0: [12:00:00 18/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 18/09/2016] tf: [08:00:00 09/10/2016] dt: 30000 id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 103 vo: 0 vu: ml t0: [10:00:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [10:00:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [10:00:00 18/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [10:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 88.23 vu: ml t0: [10:00:00 18/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [10:00:00 18/09/2016] id: Pleural fluid. el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [10:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 100 vu: ml t0: [10:00:00 18/09/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [10:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml t0: [10:00:00 18/09/2016] id: Gastric Oral Gastric el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [12:00:00 18/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 0 vu: ml t0: [12:00:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 0 vu: ml t0: [12:00:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [12:00:00 18/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [12:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 88.23 vu: ml t0: [12:00:00 18/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [12:00:00 18/09/2016] id: Pleural fluid. el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [12:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 100 vu: ml t0: [12:00:00 18/09/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [12:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 75 vu: ml t0: [12:00:00 18/09/2016] id: Gastric Oral Gastric el: 1 cu: MICU cg: RN vo: 0 vu: ml
t0: [10:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 42.5 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 42.5 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 42.5 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 18/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [12:00:00 18/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 18/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 18/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 18/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:00:00 18/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [12:00:00 18/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 18/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 18/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [12:00:00 18/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 18/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [12:00:00 18/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [12:00:00 18/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 18/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 18/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [12:00:00 18/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 37 u1: BPM st: NotStopd t0: [12:00:00 18/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 18/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 408 u1: ml/B st: NotStopd t0: [12:00:00 18/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 18/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [14:27:00 18/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [14:27:00 18/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [14:27:00 18/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [14:27:00 18/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [14:27:00 18/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 95 u1: mmHg rs: Final st: NotStopd t0: [14:27:00 18/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.49 rs: Final st: NotStopd
t0: [13:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [13:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [13:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [13:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [13:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [13:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [14:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [14:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [14:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [14:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [15:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [15:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [15:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 40 u1: BPM st: NotStopd t0: [15:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 42.5 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 18/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [14:00:00 18/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 18/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 18/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 18/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 18/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 18/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 18/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 18/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 18/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd
t0: [13:00:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [14:00:00 18/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 0 vu: ml t0: [14:00:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 250 vu: ml t0: [14:00:00 18/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [14:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 88.23 vu: ml t0: [14:00:00 18/09/2016] tf: [15:58:00 24/10/2016] dt: 51958 id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [14:00:00 18/09/2016] id: Pleural fluid. el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [14:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 100 vu: ml t0: [14:00:00 18/09/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [14:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 125 vu: ml t0: [14:00:00 18/09/2016] id: Gastric Oral Gastric el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [15:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 325 vu: ml
t0: [16:19:00 18/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [16:19:00 18/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [16:19:00 18/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:19:00 18/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:19:00 18/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:19:00 18/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:19:00 18/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [16:19:00 18/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [16:19:00 18/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:19:00 18/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:19:00 18/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:19:00 18/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [16:19:00 18/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [16:19:00 18/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [16:19:00 18/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:19:00 18/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:19:00 18/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [16:19:00 18/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [16:19:00 18/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:19:00 18/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:19:00 18/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:19:00 18/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:19:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 93 u1: % st: NotStopd t0: [16:19:00 18/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 457 u1: ml/B st: NotStopd t0: [16:19:00 18/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:19:00 18/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:19:00 18/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:19:00 18/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
tf: [16:00:00 19/09/2016] pt: Unit Dose rt: TP fr: ONCE fs: 17 dn: 1 m1: Nitroglycerin Oint. 2% v1: 1 u1: in
t0: [14:30:00 18/09/2016] id: Gentamycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd
t0: [15:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [15:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [16:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [16:00:00 18/09/2016] id: Pleural fluid. el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [16:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [16:00:00 18/09/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [16:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [16:00:00 18/09/2016] id: Gastric Oral Gastric el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [16:30:00 18/09/2016] id: Pleural fluid. el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [16:30:00 18/09/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [16:30:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 410 vu: ml t0: [16:30:00 18/09/2016] id: Gastric Oral Gastric el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [17:00:00 18/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 0 vu: ml t0: [17:00:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [17:00:00 18/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [17:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [17:00:00 18/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [17:00:00 18/09/2016] id: Pleural fluid. el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [17:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [17:00:00 18/09/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [17:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 450 vu: ml t0: [17:00:00 18/09/2016] id: Gastric Oral Gastric el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [17:30:00 18/09/2016] id: Pleural fluid. el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [17:30:00 18/09/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [17:30:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml t0: [17:30:00 18/09/2016] id: Gastric Oral Gastric el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [18:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [18:00:00 18/09/2016] id: Pleural fluid. el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [18:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [18:00:00 18/09/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [18:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 350 vu: ml t0: [18:00:00 18/09/2016] id: Gastric Oral Gastric el: 1 cu: MICU cg: RN vo: 0 vu: ml
t0: [23:00:00 18/09/2016] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 18/09/2016] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: none
t0: [13:00:00 18/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [13:00:00 18/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 18/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 18/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [14:00:00 18/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [14:00:00 18/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 18/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [14:00:00 18/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [14:00:00 18/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 18/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 18/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [16:00:00 18/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 18/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 18/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 18/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 18/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 18/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 18/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 18/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [16:00:00 18/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 18/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 18/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [16:00:00 18/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 18/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 18/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [16:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 18/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 18/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 18/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [16:00:00 18/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 18/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 18/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [16:00:00 18/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 18/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 18/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 18/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 18/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [16:00:00 18/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 18/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 18/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 18/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 18/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 18/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 18/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 18/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 18/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [16:00:00 18/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 18/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 18/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 18/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 18/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:00:00 18/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [16:00:00 18/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 18/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 18/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [16:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [16:00:00 18/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 18/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 18/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 18/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 18/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 18/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 18/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [16:00:00 18/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 18/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 18/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 18/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 18/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 18/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 18/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 18/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [16:00:00 18/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 18/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 18/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [16:00:00 18/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [16:00:00 18/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [16:00:00 18/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 18/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 18/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 18/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 18/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 18/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 18/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 18/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 18/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 18/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 18/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 18/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 18/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 18/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd t0: [17:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [17:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [17:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [17:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [17:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 90 u1: % st: NotStopd t0: [17:00:00 18/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [17:00:00 18/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 18/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [18:00:00 18/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 18/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 18/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RN v1: 41.6667 u1: ml/cmH st: NotStopd t0: [18:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 18/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [18:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 18/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [18:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [18:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 18/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 18/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [18:00:00 18/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [18:00:00 18/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [18:00:00 18/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [18:00:00 18/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [18:00:00 18/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [18:00:00 18/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 18/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [18:00:00 18/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [18:00:00 18/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [18:00:00 18/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RN v1: 14.5 u1: L/min st: NotStopd t0: [18:00:00 18/09/2016] id: PEEP Set el: 0 cu: MICU cg: RN v1: 15 u1: cmH2O st: NotStopd t0: [18:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [18:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [18:00:00 18/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RN v1: 27 u1: cmH2O st: NotStopd t0: [18:00:00 18/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [18:00:00 18/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 18/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 18/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 18/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [18:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [18:00:00 18/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [18:00:00 18/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 18/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 18/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 18/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [18:00:00 18/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [18:00:00 18/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [18:00:00 18/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RN v1: 501 u1: ml/B st: NotStopd t0: [18:00:00 18/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RN v1: 500 u1: ml/B st: NotStopd t0: [18:00:00 18/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RN v1: Assist Control st: NotStopd t0: [18:00:00 18/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [18:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [19:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [19:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [19:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [19:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml
t0: [19:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.7 vu: ml t0: [19:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [19:24:00 18/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd
t0: [19:30:00 18/09/2016] tf: [11:00:00 01/10/2016] dt: 18210 id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml
tf: [19:00:00 19/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 20 dn: 1 m1: Furosemide v1: 80 u1: mg
t0: [20:00:00 18/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 18/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 18/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 18/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 18/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 18/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [20:00:00 18/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 18/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 18/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 18/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [20:00:00 18/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 18/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 18/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 18/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 18/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [20:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 18/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 18/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 18/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [20:00:00 18/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 18/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 18/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [20:00:00 18/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 18/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 18/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 18/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 18/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 18/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 18/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 18/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 18/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 18/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 18/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 18/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 18/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 18/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 18/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 18/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 18/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [20:00:00 18/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:00:00 18/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [20:00:00 18/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 18/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [20:00:00 18/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 18/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 18/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 18/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 18/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 18/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 18/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 18/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 18/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 18/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 18/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 18/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 18/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [20:00:00 18/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 18/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 18/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 18/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 18/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 18/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 18/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 18/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 18/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 18/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 18/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 18/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 18/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [20:00:00 18/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [20:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [20:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [20:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [20:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:09:00 18/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [20:09:00 18/09/2016] id: Cuff Pressure-Airway el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:09:00 18/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [20:09:00 18/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:09:00 18/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:09:00 18/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:09:00 18/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:09:00 18/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [20:09:00 18/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:09:00 18/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:09:00 18/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.9 u1: Deg. C st: NotStopd t0: [20:09:00 18/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:09:00 18/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [20:09:00 18/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:09:00 18/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [20:09:00 18/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.4 u1: L/min st: NotStopd t0: [20:09:00 18/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:09:00 18/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:09:00 18/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [20:09:00 18/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [20:09:00 18/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:09:00 18/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [20:09:00 18/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:09:00 18/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:09:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [20:09:00 18/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:09:00 18/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Expectorated v2: Small st: NotStopd t0: [20:09:00 18/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 495 u1: ml/B st: NotStopd t0: [20:09:00 18/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:09:00 18/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:09:00 18/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:09:00 18/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 18/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml
t0: [20:20:00 18/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [20:45:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml
t0: [20:00:00 18/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 18/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3889 u1: Deg. C st: NotStopd t0: [20:00:00 18/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.1 u1: Deg. F st: NotStopd
t0: [19:19:00 18/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: RN v1: 3.3 rs: Final st: NotStopd t0: [19:19:00 18/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: RN v1: 3.3 rs: Final st: NotStopd t0: [21:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [21:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [21:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [21:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [21:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [21:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [21:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [21:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 260 vu: ml
t0: [21:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:20:00 18/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd
t0: [21:45:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml
tf: [22:00:00 18/09/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium v1: 100 u1: mg tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium (Liquid) v1: 100 u1: mg
t0: [22:00:00 18/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [22:00:00 18/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 18/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [22:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [22:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [22:00:00 18/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [22:00:00 18/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 18/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [22:00:00 18/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 18/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 18/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 18/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [22:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [22:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 260 vu: ml
t0: [22:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:20:00 18/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd
t0: [22:45:00 18/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml
t0: [23:00:00 18/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 18/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 18/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 18/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 18/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 18/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [23:00:00 18/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 18/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [23:00:00 18/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [23:00:00 18/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 18/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [23:00:00 18/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [23:00:00 18/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 18/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 18/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 18/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [23:00:00 18/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml t0: [23:00:00 18/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [23:00:00 18/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:30:00 18/09/2016] id: Gentamycin/Peak Drug Level el: 0 cu: MICU cg: 1663 v1: 4.6 rs: Final st: NotStopd
tf: [23:00:00 19/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 0 dn: 1 m1: Chlorothiazide Sodium v1: 100 u1: mg m2: D5W v2: 25 u2: ml tf: [23:00:00 19/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 0 dn: 1 m1: Furosemide v1: 60 u1: mg
t0: [00:00:00 19/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 19/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 19/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 19/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 19/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 19/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 19/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [00:00:00 19/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 19/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 19/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 19/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [00:00:00 19/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 19/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 19/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 19/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 19/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 19/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [00:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 19/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 19/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 19/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [00:00:00 19/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 19/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 19/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [00:00:00 19/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 19/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 19/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 19/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 19/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 19/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 19/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 19/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 19/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 19/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 19/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 19/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 19/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 19/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [00:00:00 19/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 19/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 19/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 19/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 19/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 19/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [00:00:00 19/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 19/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [00:00:00 19/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 19/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 19/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 19/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [00:00:00 19/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 19/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 19/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 19/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 19/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 19/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 19/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 19/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [00:00:00 19/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 19/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 19/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 19/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 19/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 19/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 19/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 19/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 19/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 19/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [00:00:00 19/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [00:00:00 19/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 19/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 19/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 19/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 19/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 19/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 133 rs: Manual st: NotStopd t0: [00:00:00 19/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [00:00:00 19/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 80 vu: ml t0: [00:00:00 19/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: RN ai: 117 vo: 50 vu: ml st: Stopped t0: [00:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [00:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 19/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 575 ap: none t0: [23:00:00 19/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 60 cv: 370 ap: none
t0: [00:00:00 19/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd
t0: [00:19:00 19/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [00:19:00 19/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [00:19:00 19/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:19:00 19/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:19:00 19/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:19:00 19/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:19:00 19/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [00:19:00 19/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [00:19:00 19/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:19:00 19/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.8 u1: Deg. C st: NotStopd t0: [00:19:00 19/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:19:00 19/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [00:19:00 19/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:19:00 19/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [00:19:00 19/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14.1 u1: L/min st: NotStopd t0: [00:19:00 19/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:19:00 19/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:19:00 19/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [00:19:00 19/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [00:19:00 19/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:19:00 19/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:19:00 19/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:19:00 19/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:19:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 94 u1: % st: NotStopd t0: [00:19:00 19/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 493 u1: ml/B st: NotStopd t0: [00:19:00 19/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:19:00 19/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:19:00 19/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:19:00 19/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [00:30:00 19/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 25 vu: ml
t0: [01:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [01:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [01:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [01:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [01:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [01:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 93 u1: % st: NotStopd t0: [01:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 19/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 50 vu: ml t0: [01:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [01:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [01:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:30:00 19/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:30:00 19/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd
t0: [02:00:00 19/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [02:00:00 19/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 19/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [02:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [02:00:00 19/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [02:00:00 19/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 19/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 19/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 19/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 19/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 19/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 19/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [02:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [02:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [02:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [03:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [03:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [03:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [03:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [03:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 320 vu: ml
t0: [03:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 19/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 220 cv: 220 ap: none t0: [23:00:00 19/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -108.29 cv: -108.29 ap: none t0: [23:00:00 19/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 51.71 cv: 2466.04 ap: none t0: [23:00:00 19/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 111.71 cv: 3411.04 ap: none t0: [23:00:00 19/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 220 cv: 3825 ap: none t0: [23:00:00 19/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -108.29 cv: -413.96 ap: none t0: [23:00:00 19/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 220 cv: 3825 ap: none t0: [23:00:00 19/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -108.29 cv: -2326.65 ap: carryForward
t0: [04:00:00 19/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 19/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 19/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 19/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 19/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 19/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [04:00:00 19/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 19/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 19/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 19/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [04:00:00 19/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 19/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 19/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 19/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 19/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [04:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 19/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 19/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 19/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [04:00:00 19/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 19/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 19/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [04:00:00 19/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 19/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 19/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 19/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 19/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 19/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 19/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 19/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 19/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 19/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 19/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 19/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 19/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 19/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [04:00:00 19/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 19/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 19/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 19/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 19/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [04:00:00 19/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [04:00:00 19/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [04:00:00 19/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 19/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 19/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 19/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [04:00:00 19/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 19/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 19/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 19/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 19/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 19/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 19/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [04:00:00 19/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 19/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 19/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 19/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 19/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 19/09/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [04:00:00 19/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 19/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 19/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [04:00:00 19/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [04:00:00 19/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [04:00:00 19/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 19/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 19/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 19/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 19/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 19/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [04:00:00 19/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 19/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [04:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [04:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:11:00 19/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [04:11:00 19/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [04:11:00 19/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:11:00 19/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:11:00 19/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:11:00 19/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:11:00 19/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [04:11:00 19/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:11:00 19/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:11:00 19/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.9 u1: Deg. C st: NotStopd t0: [04:11:00 19/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:11:00 19/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:11:00 19/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:11:00 19/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [04:11:00 19/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.5 u1: L/min st: NotStopd t0: [04:11:00 19/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:11:00 19/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:11:00 19/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [04:11:00 19/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [04:11:00 19/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:11:00 19/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [04:11:00 19/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:11:00 19/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:11:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [04:11:00 19/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:11:00 19/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:11:00 19/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 516 u1: ml/B st: NotStopd t0: [04:11:00 19/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:11:00 19/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:11:00 19/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:11:00 19/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:11:00 19/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd
t0: [05:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [05:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [05:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [05:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [05:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [05:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [05:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:14:00 19/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [05:14:00 19/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [05:14:00 19/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [05:14:00 19/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [05:14:00 19/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 130 u1: mmHg rs: Final st: NotStopd t0: [05:14:00 19/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [06:00:00 19/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [06:00:00 19/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 19/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [06:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 93 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [06:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [06:00:00 19/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [06:00:00 19/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 19/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 19/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 19/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 19/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 19/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 19/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 150 vu: ml t0: [06:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [06:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [06:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:05:00 19/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 115 rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 115 rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [05:05:00 19/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.9 rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 10.9 rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 27.6 u1: % rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.3 u1: gm/dl rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 362 rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.5 u1: /mic l rs: Final st: NotStopd t0: [05:05:00 19/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.9 rs: Final st: NotStopd
t0: [06:30:00 19/09/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd
t0: [07:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [07:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [07:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [07:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [07:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 19/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [07:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [07:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [07:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [07:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:00:00 19/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 33.3333 u1: ml/cmH st: NotStopd t0: [07:00:00 19/09/2016] id: High MV Alarm el: 0 cu: MICU cg: -1 v1: 17 t0: [07:00:00 19/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [07:00:00 19/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 19/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [07:00:00 19/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [07:00:00 19/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:5 st: NotStopd t0: [07:00:00 19/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [07:00:00 19/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [07:00:00 19/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [07:00:00 19/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [07:00:00 19/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 5 st: NotStopd t0: [07:00:00 19/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [07:00:00 19/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 17 u1: cmH2O st: NotStopd t0: [07:00:00 19/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 12.8 u1: L/min st: NotStopd t0: [07:00:00 19/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [07:00:00 19/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [07:00:00 19/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 27 u1: cmH2O st: NotStopd t0: [07:00:00 19/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 25 u1: cmH2O st: NotStopd t0: [07:00:00 19/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [07:00:00 19/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [07:00:00 19/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [07:00:00 19/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [07:00:00 19/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Thin st: NotStopd t0: [07:00:00 19/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 19/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 535 u1: ml/B st: NotStopd t0: [07:00:00 19/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [07:00:00 19/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [07:00:00 19/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [07:00:00 19/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
tf: [07:00:00 20/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [08:00:00 19/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 19/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 19/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 19/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 19/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 19/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 19/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [08:00:00 19/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 19/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 19/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 19/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 19/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [08:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 19/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 19/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [08:00:00 19/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 19/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [08:00:00 19/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 19/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 19/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 19/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 19/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 19/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 19/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 19/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 19/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 19/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 19/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 19/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 19/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [08:00:00 19/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 19/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 19/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 19/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 19/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [08:00:00 19/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [08:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [08:00:00 19/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 19/09/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 19/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 19/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [08:00:00 19/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 19/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 19/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 19/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 19/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 19/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [08:00:00 19/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 19/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 19/09/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 19/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 19/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 19/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 19/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 19/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 19/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 19/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [08:00:00 19/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [08:00:00 19/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [08:00:00 19/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 19/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 19/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 19/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 19/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 19/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 19/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 19/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 19/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 19/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 19/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 19/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 7 u1: number st: NotStopd t0: [08:00:00 19/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd
t0: [08:00:00 19/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [08:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [08:00:00 19/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [08:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [08:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 19/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [09:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [09:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [09:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [09:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [09:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 19/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [09:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [09:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 65 vu: ml
t0: [09:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [08:00:00 20/09/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [10:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [10:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [10:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [10:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [10:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 19/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [10:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [10:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [10:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [11:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [11:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [11:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [11:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [11:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [11:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [11:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 19/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 33.3333 u1: ml/cmH st: NotStopd t0: [11:00:00 19/09/2016] id: High MV Alarm el: 0 cu: MICU cg: -1 v1: 17 t0: [11:00:00 19/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 19/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 19/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [11:00:00 19/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [11:00:00 19/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:5 st: NotStopd t0: [11:00:00 19/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [11:00:00 19/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [11:00:00 19/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [11:00:00 19/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [11:00:00 19/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 5 st: NotStopd t0: [11:00:00 19/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [11:00:00 19/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 18 u1: cmH2O st: NotStopd t0: [11:00:00 19/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 12.1 u1: L/min st: NotStopd t0: [11:00:00 19/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [11:00:00 19/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [11:00:00 19/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 27 u1: cmH2O st: NotStopd t0: [11:00:00 19/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 25 u1: cmH2O st: NotStopd t0: [11:00:00 19/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [11:00:00 19/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [11:00:00 19/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [11:00:00 19/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [11:00:00 19/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 510 u1: ml/B st: NotStopd t0: [11:00:00 19/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [11:00:00 19/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [11:00:00 19/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [11:00:00 19/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [12:00:00 19/09/2016] id: NBP el: 0 cu: MICU cg: -1 st: D/C'd t0: [12:00:00 19/09/2016] id: NBP Mean el: 0 cu: MICU cg: -1 st: D/C'd
t0: [12:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 19/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [12:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [12:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [12:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [12:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 19/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 19/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 19/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 19/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [12:00:00 19/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [12:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 19/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 141 rs: Manual st: NotStopd
t0: [12:00:00 19/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [12:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [12:00:00 19/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [12:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [12:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [13:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [13:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [13:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:30:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:30:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:30:00 19/09/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: CT scan st: NotStopd t0: [13:30:00 19/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [13:30:00 19/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 19/09/2016] id: Radiologic Study el: 0 cu: MICU cg: RN st: NotStopd t0: [14:30:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:30:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 19/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [14:30:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:30:00 19/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [14:30:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:30:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:30:00 19/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:30:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [14:30:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:30:00 19/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:30:00 19/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:30:00 19/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [14:30:00 19/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [14:30:00 19/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [14:30:00 19/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [14:30:00 19/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:30:00 19/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [14:30:00 19/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:30:00 19/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [14:30:00 19/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [14:30:00 19/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [14:30:00 19/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [14:30:00 19/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:30:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:30:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [14:30:00 19/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [14:30:00 19/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [14:30:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:30:00 19/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:30:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [14:30:00 19/09/2016] id: Radiologic Study el: 0 cu: MICU cg: RN st: NotStopd t0: [14:30:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 38 u1: BPM st: NotStopd t0: [14:30:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 90 u1: % st: NotStopd t0: [14:30:00 19/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:30:00 19/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [14:30:00 19/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [14:30:00 19/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [14:30:00 19/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [14:30:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [14:30:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 116.775 vu: ml t0: [14:30:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [13:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:30:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:30:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 19/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [15:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [15:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 23.355 vu: ml
t0: [15:00:00 19/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 31.25 u1: ml/cmH st: NotStopd t0: [15:00:00 19/09/2016] id: High MV Alarm el: 0 cu: MICU cg: -1 v1: 18 t0: [15:00:00 19/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [15:00:00 19/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [15:00:00 19/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [15:00:00 19/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [15:00:00 19/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:5 st: NotStopd t0: [15:00:00 19/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [15:00:00 19/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [15:00:00 19/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [15:00:00 19/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [15:00:00 19/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 5 st: NotStopd t0: [15:00:00 19/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [15:00:00 19/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 19 u1: cmH2O st: NotStopd t0: [15:00:00 19/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 13.8 u1: L/min st: NotStopd t0: [15:00:00 19/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [15:00:00 19/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [15:00:00 19/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 28 u1: cmH2O st: NotStopd t0: [15:00:00 19/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 27 u1: cmH2O st: NotStopd t0: [15:00:00 19/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [15:00:00 19/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [15:00:00 19/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [15:00:00 19/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [15:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [15:00:00 19/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 490 u1: ml/B st: NotStopd t0: [15:00:00 19/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [15:00:00 19/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [15:00:00 19/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [15:00:00 19/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [16:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 19/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [16:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [16:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [16:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [16:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 19/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 19/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [16:00:00 19/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [16:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [16:00:00 19/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [16:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [16:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 19/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [12:00:00 19/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [12:00:00 19/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 19/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 19/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 19/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 19/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 19/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 19/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 19/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [16:00:00 19/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 19/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 19/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 19/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [16:00:00 19/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 19/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 19/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [16:00:00 19/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 19/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 19/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 19/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 19/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [16:00:00 19/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [16:00:00 19/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 19/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [16:00:00 19/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [16:00:00 19/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 19/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 19/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 19/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [16:00:00 19/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 19/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 19/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 19/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 19/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 19/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 19/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 19/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 19/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [16:00:00 19/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 19/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 19/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 19/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 19/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [16:00:00 19/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 19/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 19/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 19/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 19/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 19/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 19/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 19/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 19/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 19/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 19/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 19/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 19/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 19/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [16:00:00 19/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 19/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 19/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 19/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 19/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 19/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 19/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 19/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [16:00:00 19/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 19/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [16:00:00 19/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [16:00:00 19/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 6 u1: number st: NotStopd t0: [16:00:00 19/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd
io: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ra: 20 ru: ml/hr
tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Ferrous Sulfate v1: 325 u1: mg
id: Tube Feeding el: 1 cu: MICU cg: RN io: Tube Feeding PO/Gastric du: ml rt: Gastric/Feeding Tube
t0: [15:20:00 19/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.34 rs: Final st: NotStopd t0: [15:20:00 19/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -2 rs: Final st: NotStopd t0: [15:20:00 19/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [15:20:00 19/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [15:20:00 19/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 94 u1: mmHg rs: Final st: NotStopd t0: [15:20:00 19/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.34 rs: Final st: NotStopd
t0: [15:21:00 19/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [15:21:00 19/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.2 rs: Final st: NotStopd
t0: [15:21:00 19/09/2016] id: PT el: 0 cu: MICU cg: 1663 v1: 13.7 rs: Final st: NotStopd t0: [15:21:00 19/09/2016] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [15:21:00 19/09/2016] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 25.5 rs: Final st: NotStopd t0: [15:21:00 19/09/2016] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [15:21:00 19/09/2016] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.7 rs: Final st: NotStopd t0: [15:21:00 19/09/2016] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 25.5 rs: Final st: NotStopd
t0: [17:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [17:00:00 19/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 0 vu: ml nb: 1 t0: [17:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 125 vu: ml
tf: [16:00:00 20/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 17 dn: 1 m1: Chlorothiazide Sodium v1: 100 u1: mg m2: D5W v2: 50 u2: ml tf: [16:00:00 20/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 17 dn: 1 m1: Furosemide v1: 60 u1: mg
t0: [17:30:00 19/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd
t0: [18:00:00 19/09/2016] id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 103 vo: 0 st: D/C'd
t0: [16:00:00 19/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 19/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 19/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [18:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [18:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [18:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 19/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [18:00:00 19/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 19/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 121 rs: Manual st: NotStopd
t0: [18:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [18:00:00 19/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 75 vu: ml t0: [18:00:00 19/09/2016] tf: [00:00:00 20/09/2016] dt: 360 id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 20 vu: ml t0: [18:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml
t0: [18:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:56:00 19/09/2016] id: BSA el: 1033 cu: MICU cg: -1 v1: 3.04107 u1: m2 t0: [18:56:00 19/09/2016] id: Admit Wt el: 1032 cu: MICU cg: -1 v1: 173 u1: kg t0: [18:56:00 19/09/2016] id: Allergy 1 el: 1020 cu: MICU cg: -1 t0: [18:56:00 19/09/2016] id: Diagnosis/op el: 1023 cu: MICU cg: -1 v1: CVA; CHF PNEUMONIA t0: [18:56:00 19/09/2016] id: Service el: 1026 cu: MICU cg: -1 v1: MED t0: [18:56:00 19/09/2016] id: Admit Ht el: 1034 cu: MICU cg: -1 v1: 71 u1: inches t0: [18:56:00 19/09/2016] id: Readmission el: 1014 cu: MICU cg: -1 t0: [18:56:00 19/09/2016] id: Marital Status el: 1006 cu: MICU cg: -1 v1: M t0: [18:56:00 19/09/2016] id: Religion el: 1000 cu: MICU cg: -1 v1: U t0: [18:56:00 19/09/2016] id: Allergy 2 el: 1021 cu: MICU cg: -1 t0: [18:56:00 19/09/2016] id: Ext el: 1010 cu: MICU cg: -1 t0: [18:56:00 19/09/2016] id: PIN el: 1012 cu: MICU cg: -1 t0: [18:56:00 19/09/2016] id: Allergy 3 el: 1022 cu: MICU cg: -1
t0: [19:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [19:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [19:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [19:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [19:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [19:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [19:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 250 vu: ml
t0: [19:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:30:00 19/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [19:30:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:30:00 19/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [19:30:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:30:00 19/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [19:30:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:30:00 19/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [19:30:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:30:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:30:00 19/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [19:30:00 19/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [19:30:00 19/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [19:30:00 19/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [19:30:00 19/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [19:30:00 19/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [19:30:00 19/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [19:30:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [19:30:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:30:00 19/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [19:30:00 19/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:30:00 19/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [19:30:00 19/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [19:30:00 19/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [19:30:00 19/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [19:30:00 19/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [19:30:00 19/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [19:30:00 19/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [19:30:00 19/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [19:30:00 19/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [19:30:00 19/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [19:30:00 19/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [19:30:00 19/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [19:30:00 19/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [19:30:00 19/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [19:30:00 19/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [19:30:00 19/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [19:30:00 19/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:30:00 19/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [19:30:00 19/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [19:30:00 19/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [19:30:00 19/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [19:30:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [19:30:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [19:30:00 19/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [19:30:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:30:00 19/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [19:30:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [19:30:00 19/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [19:30:00 19/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [19:30:00 19/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [19:30:00 19/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [19:30:00 19/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [19:30:00 19/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [19:30:00 19/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [19:30:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [19:30:00 19/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:30:00 19/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [19:30:00 19/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [19:30:00 19/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [19:30:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [19:30:00 19/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [19:30:00 19/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [19:30:00 19/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [19:30:00 19/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [19:30:00 19/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [19:30:00 19/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [19:30:00 19/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [19:30:00 19/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [19:30:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:30:00 19/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [19:30:00 19/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [19:30:00 19/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [19:30:00 19/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [19:30:00 19/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [19:30:00 19/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [19:30:00 19/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [19:30:00 19/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 7 u1: number st: NotStopd t0: [19:30:00 19/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd
t0: [19:30:00 19/09/2016] tf: [20:00:00 20/09/2016] dt: 1470 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 32 vu: ml t0: [19:30:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [19:30:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 70.065 vu: ml t0: [19:30:00 19/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 90 vu: ml t0: [19:30:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 280 vu: ml
t0: [19:30:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 19/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml
tf: [14:00:00 25/09/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 9, 21 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [20:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 19/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [20:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 19/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [20:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [20:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [20:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [20:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 23.355 vu: ml t0: [20:00:00 19/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml t0: [20:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 280 vu: ml
t0: [20:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:30:00 19/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [20:30:00 19/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [20:30:00 19/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:30:00 19/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:30:00 19/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:30:00 19/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:30:00 19/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [20:30:00 19/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:30:00 19/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:30:00 19/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:30:00 19/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:30:00 19/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [20:30:00 19/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [20:30:00 19/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.6 u1: L/min st: NotStopd t0: [20:30:00 19/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:30:00 19/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:30:00 19/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [20:30:00 19/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [20:30:00 19/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:30:00 19/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:30:00 19/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:30:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [20:30:00 19/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:30:00 19/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:30:00 19/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:30:00 19/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:30:00 19/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:30:00 19/09/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Blood Cultured st: NotStopd
t0: [20:30:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [20:35:00 19/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:35:00 19/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [20:35:00 19/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:35:00 19/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:35:00 19/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [20:35:00 19/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [20:35:00 19/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:35:00 19/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:35:00 19/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:35:00 19/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:35:00 19/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:35:00 19/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [20:35:00 19/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml
t0: [21:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 19/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [21:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [21:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [21:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [21:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:30:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [21:30:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 70.065 vu: ml t0: [21:30:00 19/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 90 vu: ml t0: [21:30:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 320 vu: ml
t0: [21:30:00 19/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:30:00 19/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:30:00 19/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [21:30:00 19/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [19:30:00 19/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [22:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [22:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 19/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [22:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [22:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [22:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [22:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 19/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [22:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 23.355 vu: ml t0: [22:00:00 19/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml t0: [22:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [22:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [21:00:00 21/09/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Acetylcysteine 20% v1: 600 u1: mg
t0: [22:00:00 19/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml
tf: [08:00:00 27/09/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 1, 9, 17 dn: 3 m1: Meropenem v1: 1000 u1: mg m2: NS v2: 100 u2: ml
t0: [19:00:00 19/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [19:00:00 19/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [19:00:00 19/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [19:00:00 19/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [19:00:00 19/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [19:00:00 19/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [19:00:00 19/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [19:00:00 19/09/2016] id: Turn el: 0 cu: MICU cg: RN st: NotStopd t0: [21:00:00 19/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 19/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [21:00:00 19/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [21:00:00 19/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [21:00:00 19/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [21:00:00 19/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [21:00:00 19/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [21:00:00 19/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 19/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 19/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [21:00:00 19/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [22:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 19/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 19/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 19/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 19/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 19/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 19/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [23:00:00 19/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 19/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 19/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [23:00:00 19/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 19/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [23:00:00 19/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [23:00:00 19/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [23:00:00 19/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [23:00:00 19/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [23:00:00 19/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [23:00:00 19/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [23:00:00 19/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 19/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [23:00:00 19/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [23:00:00 19/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [23:00:00 19/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [23:00:00 19/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [23:00:00 19/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 19/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 19/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:00:00 19/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:00:00 19/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [23:00:00 19/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 19/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [23:00:00 19/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [23:00:00 19/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 19/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 19/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 19/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 19/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 19/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 19/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [23:00:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [23:00:00 19/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [23:00:00 19/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [23:00:00 19/09/2016] id: Turn el: 0 cu: MICU cg: RN st: NotStopd t0: [23:00:00 19/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 19/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 19/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: DONE
t0: [23:00:00 19/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 19/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [23:00:00 19/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [23:00:00 19/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [23:00:00 19/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:30:00 19/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [23:30:00 19/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [23:30:00 19/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [23:30:00 19/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [23:30:00 19/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [23:30:00 19/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [23:30:00 19/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [23:30:00 19/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [23:30:00 19/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [23:30:00 19/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.9 u1: Deg. C st: NotStopd t0: [23:30:00 19/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [23:30:00 19/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [23:30:00 19/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [23:30:00 19/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [23:30:00 19/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.9 u1: L/min st: NotStopd t0: [23:30:00 19/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [23:30:00 19/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [23:30:00 19/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [23:30:00 19/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [23:30:00 19/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [23:30:00 19/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [23:30:00 19/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [23:30:00 19/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [23:30:00 19/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [23:30:00 19/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [23:30:00 19/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [23:30:00 19/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 312 u1: ml/B st: NotStopd t0: [23:30:00 19/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [23:30:00 19/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [23:30:00 19/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [23:30:00 19/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [23:30:00 19/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Copious st: NotStopd
id: KCL el: 100 cu: MICU cg: RN io: D5W 50.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
id: D5W el: 1 cu: MICU cg: RN io: D5W 50.0ml IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [00:00:00 20/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 20/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 20/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 20/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 20/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 20/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 20/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 20/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [00:00:00 20/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 20/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 20/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 20/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 20/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [00:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 20/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 20/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 20/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 20/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 20/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 20/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 20/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 20/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 20/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 20/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 20/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [00:00:00 20/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 20/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 20/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 20/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 20/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [00:00:00 20/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [00:00:00 20/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [00:00:00 20/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 20/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 20/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [00:00:00 20/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 20/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 20/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 20/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 20/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 20/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 20/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [00:00:00 20/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 20/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 20/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 20/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 20/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 20/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 20/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [00:00:00 20/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [00:00:00 20/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [00:00:00 20/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 20/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 20/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 20/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 20/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [00:00:00 20/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [00:00:00 20/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml st: Stopped t0: [00:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [00:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:30:00 19/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd
t0: [00:00:00 20/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 154 rs: Manual st: NotStopd
t0: [23:50:00 19/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [23:50:00 19/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd
t0: [01:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [01:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 20/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [01:00:00 20/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [01:00:00 20/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [01:00:00 20/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [01:00:00 20/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [01:00:00 20/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [01:00:00 20/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [01:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [01:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [01:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [01:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 20/09/2016] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vu: ml nb: 1 t0: [01:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [01:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 55 vu: ml
t0: [01:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:00:00 20/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [01:00:00 20/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [01:00:00 20/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml
t0: [00:00:00 20/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [02:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 20/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [02:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 20/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 20/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [02:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 20/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 20/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [02:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [02:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 20/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [02:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 20/09/2016] tf: [18:00:00 21/09/2016] dt: 2400 id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml t0: [02:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [02:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [02:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [03:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 20/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [03:00:00 20/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [03:00:00 20/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [03:00:00 20/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [03:00:00 20/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [03:00:00 20/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [03:00:00 20/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [03:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [03:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [03:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 20/09/2016] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 109 vo: 50 vu: ml t0: [03:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [03:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 85 vu: ml
t0: [03:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 20/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [04:00:00 20/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 20/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [04:00:00 20/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 20/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 20/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 20/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [04:00:00 20/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:00:00 20/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 20/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.9 u1: Deg. C st: NotStopd t0: [04:00:00 20/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 20/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 20/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 20/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [04:00:00 20/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 20/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 20/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:00:00 20/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 20/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [04:00:00 20/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 20/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 20/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [04:00:00 20/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 20/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 20/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 20/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [04:00:00 20/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [04:00:00 20/09/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 20/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 20/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 20/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 20/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 20/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 20/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 20/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [04:00:00 20/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 20/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 20/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [04:00:00 20/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 20/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 20/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 20/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [04:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 20/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 20/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 20/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [04:00:00 20/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 20/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 20/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 20/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 20/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 20/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 20/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [04:00:00 20/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 20/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [04:00:00 20/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 20/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 20/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 20/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 20/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [04:00:00 20/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [04:00:00 20/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 20/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 20/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [04:00:00 20/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 20/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 20/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 20/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [04:00:00 20/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 20/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 20/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 20/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 20/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 20/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 20/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 20/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 20/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [04:00:00 20/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [04:00:00 20/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [04:00:00 20/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [04:00:00 20/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [04:00:00 20/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 20/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 20/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 20/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [04:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [04:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:38:00 20/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [04:38:00 20/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [04:38:00 20/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [04:38:00 20/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [04:38:00 20/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 128 u1: mmHg rs: Final st: NotStopd t0: [04:38:00 20/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd
t0: [04:15:00 20/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.8 rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 10.8 rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 26.9 u1: % rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.1 u1: gm/dl rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 406 rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.52 u1: /mic l rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.8 rs: Final st: NotStopd
t0: [04:15:00 20/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 135 rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 135 rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:15:00 20/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [05:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [05:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [05:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [05:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [05:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [05:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [05:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [05:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:00:00 20/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [05:00:00 20/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [05:00:00 20/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [05:00:00 20/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [05:00:00 20/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [05:00:00 20/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 20/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 20/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [06:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 20/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 20/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [06:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [06:00:00 20/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 20/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [06:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [06:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 20/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [06:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 20/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 90 vu: ml t0: [06:00:00 20/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [06:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [06:00:00 20/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 151 rs: Manual st: NotStopd
t0: [06:15:00 20/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml
t0: [07:00:00 20/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 29.4118 u1: ml/cmH st: NotStopd t0: [07:00:00 20/09/2016] id: High MV Alarm el: 0 cu: MICU cg: -1 v1: 18 t0: [07:00:00 20/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [07:00:00 20/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 20/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [07:00:00 20/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [07:00:00 20/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:5 st: NotStopd t0: [07:00:00 20/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [07:00:00 20/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [07:00:00 20/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [07:00:00 20/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [07:00:00 20/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 5 st: NotStopd t0: [07:00:00 20/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [07:00:00 20/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 21 u1: cmH2O st: NotStopd t0: [07:00:00 20/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 10.5 u1: L/min st: NotStopd t0: [07:00:00 20/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [07:00:00 20/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [07:00:00 20/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [07:00:00 20/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 24 u1: cmH2O st: NotStopd t0: [07:00:00 20/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [07:00:00 20/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [07:00:00 20/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [07:00:00 20/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [07:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [07:00:00 20/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 480 u1: ml/B st: NotStopd t0: [07:00:00 20/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [07:00:00 20/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [07:00:00 20/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [07:00:00 20/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [08:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [08:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [08:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 20/09/2016] id: Previous Weight el: 0 cu: MICU cg: RN v1: 172 u1: kg st: NotStopd t0: [08:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [08:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 20/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 20/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [08:00:00 20/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [08:00:00 20/09/2016] id: BSA - English el: 0 cu: MICU cg: RN v1: 1.95826 u1: m2 st: NotStopd t0: [08:00:00 20/09/2016] id: BSA - Metric el: 0 cu: MICU cg: RN v1: 2.26361 u1: m2 st: NotStopd t0: [08:00:00 20/09/2016] id: Weight Change el: 0 cu: MICU cg: RN v1: -4 u1: kg st: NotStopd t0: [08:00:00 20/09/2016] id: Daily Weight el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd
t0: [08:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 20/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 20/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 20/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [08:00:00 20/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 20/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 20/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 20/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [08:00:00 20/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 20/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 20/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 20/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [08:00:00 20/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 20/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [08:00:00 20/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [08:00:00 20/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 20/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [08:00:00 20/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 20/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 20/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 20/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 20/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 20/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 20/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 20/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 20/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 20/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [08:00:00 20/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 20/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 20/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 20/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 20/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [08:00:00 20/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 20/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 20/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 20/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 20/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 20/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 20/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 20/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 20/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 20/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 20/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 20/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 20/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 20/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [08:00:00 20/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 20/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 20/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 20/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 20/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 20/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 20/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 20/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 20/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 20/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 20/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 93.42 vu: ml t0: [08:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 170 vu: ml
t0: [08:00:00 20/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd
t0: [08:00:00 20/09/2016] id: Procedures el: 0 cu: MICU cg: RN v1: EKG st: NotStopd
tf: [08:00:00 21/09/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [09:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PAC's st: NotStopd t0: [09:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [09:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [09:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [09:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 20/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [09:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [09:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [09:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:00:00 20/09/2016] id: ETT Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 20/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 20/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [10:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [10:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [10:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [10:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [10:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 20/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml t0: [10:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [10:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [10:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 20/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [10:00:00 20/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [10:00:00 20/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd
t0: [11:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [11:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [11:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [11:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [11:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [11:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [11:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [11:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [11:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 20/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 20/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 20/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 20/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [11:00:00 20/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 20/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 20/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [11:00:00 20/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [11:00:00 20/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [11:00:00 20/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 20/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [11:00:00 20/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 20/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 20/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: done
t0: [11:00:00 20/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 27.7778 u1: ml/cmH st: NotStopd t0: [11:00:00 20/09/2016] id: High MV Alarm el: 0 cu: MICU cg: -1 v1: 18 t0: [11:00:00 20/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 20/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 20/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [11:00:00 20/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [11:00:00 20/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:5 st: NotStopd t0: [11:00:00 20/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [11:00:00 20/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [11:00:00 20/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [11:00:00 20/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [11:00:00 20/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 5 st: NotStopd t0: [11:00:00 20/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [11:00:00 20/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 21 u1: cmH2O st: NotStopd t0: [11:00:00 20/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 12.8 u1: L/min st: NotStopd t0: [11:00:00 20/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [11:00:00 20/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [11:00:00 20/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 33 u1: cmH2O st: NotStopd t0: [11:00:00 20/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 24 u1: cmH2O st: NotStopd t0: [11:00:00 20/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [11:00:00 20/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [11:00:00 20/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [11:00:00 20/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [11:00:00 20/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [11:00:00 20/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [11:00:00 20/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [11:00:00 20/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [11:00:00 20/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [11:00:00 20/09/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [11:00:00 20/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [12:00:00 20/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 20/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 20/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 20/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 20/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PAC's st: NotStopd t0: [12:00:00 20/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [12:00:00 20/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 20/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [12:00:00 20/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 20/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [12:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 20/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 20/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd t0: [12:00:00 20/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: Redness st: NotStopd t0: [12:00:00 20/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 20/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [12:00:00 20/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 20/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 20/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN st: NotStopd t0: [12:00:00 20/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 20/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 20/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 20/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 20/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 20/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 20/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 20/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 20/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [12:00:00 20/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 20/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 20/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 20/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 20/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [12:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [12:00:00 20/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [12:00:00 20/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [12:00:00 20/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 20/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 20/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 20/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [12:00:00 20/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 20/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 20/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 20/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 20/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 20/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 20/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [12:00:00 20/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [12:00:00 20/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [12:00:00 20/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 20/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 20/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 20/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [12:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [12:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [13:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 20/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [13:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [13:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [13:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [13:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [13:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [12:00:00 21/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 13 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml tf: [12:00:00 21/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Furosemide v1: 80 u1: mg
t0: [14:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [14:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [14:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [14:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 20/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 20/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3889 u1: Deg. C st: NotStopd t0: [14:00:00 20/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.1 u1: Deg. F st: NotStopd t0: [14:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [14:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [14:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 20/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [13:00:00 20/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 20/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [13:00:00 20/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 20/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd
t0: [14:00:00 20/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [15:00:00 20/09/2016] id: Promote w/fiber Tube Feeding el: 1 cu: MICU cg: -1 ai: 117 vo: 0 st: D/C'd
t0: [08:00:00 20/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 20/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [15:00:00 20/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [15:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 20/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 20/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [15:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 20/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [15:00:00 20/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 20/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [15:00:00 20/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [15:00:00 20/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [15:00:00 20/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [15:00:00 20/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 20/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [15:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [15:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 20/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [15:00:00 20/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 20/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [15:00:00 20/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 20/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [15:00:00 20/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [15:00:00 20/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 20/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [15:00:00 20/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 20/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [15:00:00 20/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [15:00:00 20/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [15:00:00 20/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [15:00:00 20/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [15:00:00 20/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 20/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 20/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 20/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [15:00:00 20/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [15:00:00 20/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 20/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [15:00:00 20/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 20/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [15:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [15:00:00 20/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [15:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [15:00:00 20/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [15:00:00 20/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [15:00:00 20/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [15:00:00 20/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 20/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 20/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [15:00:00 20/09/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 20/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [15:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [15:00:00 20/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 20/09/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 20/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 20/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [15:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 20/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [15:00:00 20/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [15:00:00 20/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 20/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 20/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 20/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [15:00:00 20/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [15:00:00 20/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [15:00:00 20/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [15:00:00 20/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [15:00:00 20/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [15:00:00 20/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [15:00:00 20/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [13:00:00 20/09/2016] tf: [03:00:00 21/09/2016] dt: 840 id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [14:00:00 20/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [15:00:00 20/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [15:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [15:00:00 20/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml
t0: [15:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [15:00:00 20/09/2016] id: High MV Alarm el: 0 cu: MICU cg: -1 v1: 18 t0: [15:00:00 20/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [15:00:00 20/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [15:00:00 20/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [15:00:00 20/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [15:00:00 20/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [15:00:00 20/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [15:00:00 20/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [15:00:00 20/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [15:00:00 20/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 5 st: NotStopd t0: [15:00:00 20/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [15:00:00 20/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 14 u1: cmH2O st: NotStopd t0: [15:00:00 20/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 11.2 u1: L/min st: NotStopd t0: [15:00:00 20/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [15:00:00 20/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [15:00:00 20/09/2016] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 15 u1: . st: NotStopd t0: [15:00:00 20/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [15:00:00 20/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [15:00:00 20/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 580 u1: ml/B st: NotStopd t0: [15:00:00 20/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [15:00:00 20/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd
t0: [16:00:00 20/09/2016] id: INV#2Chg o/Wire Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [16:00:00 20/09/2016] id: INV Line#2 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [16:00:00 20/09/2016] id: INV Line#2 Site Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [16:00:00 20/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [16:00:00 20/09/2016] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 st: D/C'd t0: [16:00:00 20/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 st: D/C'd t0: [16:00:00 20/09/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [16:00:00 20/09/2016] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 st: D/C'd
t0: [16:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PAC's st: NotStopd t0: [16:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [16:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [16:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [16:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 20/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 20/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [16:00:00 20/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [16:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [16:00:00 20/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [16:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [16:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 20/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [12:00:00 20/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 153 rs: Manual st: NotStopd
t0: [15:00:00 20/09/2016] id: INV Line#2 D/C Date el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [15:00:00 20/09/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:00:00 20/09/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 26 st: NotStopd
t0: [16:41:00 20/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [16:41:00 20/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [16:41:00 20/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [16:41:00 20/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [16:41:00 20/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [16:41:00 20/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 98 u1: mmHg rs: Final st: NotStopd t0: [16:41:00 20/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [16:41:00 20/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd
t0: [16:19:00 20/09/2016] id: Mixed Venous O2 Blood Gases el: 0 cu: MICU cg: 1663 v1: 43 rs: Final st: NotStopd
t0: [17:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [17:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [17:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [17:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [17:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [17:00:00 20/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [17:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [17:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 20/09/2016] id: INV Line#4SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd
t0: [17:00:00 20/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [17:00:00 20/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [17:00:00 20/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 20/09/2016] id: INV Line#4 D/C Date el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [17:00:00 20/09/2016] id: INV Line#4 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [17:00:00 20/09/2016] id: INV Line#4InsertDate el: 0 cu: MICU cg: RN v1: 7 v2: 31 st: NotStopd t0: [18:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 20/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 20/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 20/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [18:00:00 20/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 20/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 20/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [18:00:00 20/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [18:00:00 20/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 20/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 20/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [18:00:00 20/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.5 u1: Deg. F st: NotStopd t0: [18:00:00 20/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [18:00:00 20/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 20/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [18:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [18:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [18:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [18:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [18:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [18:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 20/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [18:00:00 20/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [18:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [18:00:00 20/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [18:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 350 vu: ml
t0: [18:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [19:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [19:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [19:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [19:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [19:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 20/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [19:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [19:00:00 20/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [19:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 340 vu: ml
t0: [19:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 20/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 20/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 20/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 20/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [20:00:00 20/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 20/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 20/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 20/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [20:00:00 20/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 20/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 20/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [20:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 20/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 20/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 20/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [20:00:00 20/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 20/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 20/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [20:00:00 20/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 20/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 20/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 20/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 20/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 20/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 20/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 20/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 20/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 20/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 20/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 20/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 20/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 20/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 20/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 20/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 20/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [20:00:00 20/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [20:00:00 20/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [20:00:00 20/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 20/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 20/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [20:00:00 20/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 20/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 20/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 20/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 20/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [20:00:00 20/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 20/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 20/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 20/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 20/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 20/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [20:00:00 20/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [20:00:00 20/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [20:00:00 20/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 20/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [20:00:00 20/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 20/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 20/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 20/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 20/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 20/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 20/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 20/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 20/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 20/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 20/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 20/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [20:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [20:00:00 20/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [20:00:00 20/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [20:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [20:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 20/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 190 ap: none
t0: [21:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [21:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [21:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [21:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [21:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [21:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 20/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [21:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [21:00:00 20/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [21:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [21:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:25:00 20/09/2016] id: Vancomycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 11.2 rs: Final st: NotStopd
t0: [21:00:00 20/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [21:00:00 20/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:00:00 20/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:00:00 20/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [21:00:00 20/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:00:00 20/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [21:00:00 20/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 20/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [21:00:00 20/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [21:00:00 20/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [21:00:00 20/09/2016] id: MDI #2 (Puff/Drug) el: 0 cu: MICU cg: RRT v2: Combivent st: NotStopd t0: [21:00:00 20/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [21:00:00 20/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.8 u1: L/min st: NotStopd t0: [21:00:00 20/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 20/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [21:00:00 20/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [21:00:00 20/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [21:00:00 20/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:00:00 20/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 472 u1: ml/B st: NotStopd t0: [21:00:00 20/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [21:00:00 20/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [22:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [22:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [22:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [22:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 20/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [22:00:00 20/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [22:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [22:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 20/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 20/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 20/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 20/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 20/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 20/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [23:00:00 20/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 20/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [23:00:00 20/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [23:00:00 20/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 20/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [23:00:00 20/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 20/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [23:00:00 20/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [23:00:00 20/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [23:00:00 20/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 20/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 20/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [23:00:00 20/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [23:00:00 20/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [23:00:00 20/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 20/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 20/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 11.71 cv: 11.71 ap: none t0: [23:00:00 20/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 51.71 cv: 2391.04 ap: none t0: [23:00:00 20/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 111.71 cv: 3301.04 ap: none t0: [23:00:00 20/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 60 cv: 720 ap: none t0: [23:00:00 20/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 100 cv: 3270 ap: none t0: [23:00:00 20/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 11.71 cv: 31.0398 ap: none t0: [23:00:00 20/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 100 cv: 3270 ap: none t0: [23:00:00 20/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 11.71 cv: -2295.61 ap: carryForward
t0: [23:00:00 20/09/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Blood Cultured st: NotStopd t0: [23:00:00 20/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Plug st: NotStopd t0: [23:00:00 20/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [23:15:00 20/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [23:15:00 20/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Plug st: NotStopd t0: [23:15:00 20/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [00:00:00 21/09/2016] id: Angio Appearance #1 el: 0 cu: MICU cg: -1 st: D/C'd t0: [00:00:00 21/09/2016] id: Angio Dressing #1 el: 0 cu: MICU cg: -1 st: D/C'd
tf: [23:00:00 21/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 0 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml tf: [23:00:00 21/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 0 dn: 1 m1: Furosemide v1: 80 u1: mg
t0: [20:00:00 20/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 20/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 20/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 21/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 21/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 21/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 21/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [00:00:00 21/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 21/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 21/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 21/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [00:00:00 21/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 21/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 21/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 21/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [00:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 21/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 21/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 21/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [00:00:00 21/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 21/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 21/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [00:00:00 21/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 21/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 21/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 21/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 21/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 21/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 21/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 21/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 21/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 21/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 21/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 21/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 21/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 21/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 21/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 21/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 21/09/2016] id: Angio Site #1 el: 0 cu: MICU cg: RN st: NotStopd t0: [00:00:00 21/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 21/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 21/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 21/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 21/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [00:00:00 21/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 21/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 21/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 21/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 21/09/2016] id: Radial Pulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 21/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [00:00:00 21/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 21/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 21/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 21/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 21/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [00:00:00 21/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [00:00:00 21/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [00:00:00 21/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 21/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 21/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 21/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 21/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 21/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [00:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [00:00:00 21/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [00:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [00:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [00:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 21/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [00:00:00 21/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 21/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 21/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 21/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 21/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [00:00:00 21/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 21/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.9 u1: Deg. C st: NotStopd t0: [00:00:00 21/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 21/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 21/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 21/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [00:00:00 21/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.1 u1: L/min st: NotStopd t0: [00:00:00 21/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 21/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 21/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [00:00:00 21/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 21/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 21/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 21/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 21/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [00:00:00 21/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 21/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 21/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 154 rs: Manual st: NotStopd
t0: [00:30:00 21/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [01:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [01:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [01:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [01:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [01:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 21/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [01:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [01:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [01:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 260 vu: ml
t0: [01:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:10:00 21/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [01:10:00 21/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [01:10:00 21/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [01:10:00 21/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:10:00 21/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [01:10:00 21/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:10:00 21/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [01:10:00 21/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [01:10:00 21/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:10:00 21/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.9 u1: Deg. C st: NotStopd t0: [01:10:00 21/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [01:10:00 21/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [01:10:00 21/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [01:10:00 21/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.4 u1: L/min st: NotStopd t0: [01:10:00 21/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:10:00 21/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [01:10:00 21/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [01:10:00 21/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [01:10:00 21/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [01:10:00 21/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [01:10:00 21/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:10:00 21/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:10:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [01:10:00 21/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [01:10:00 21/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [01:10:00 21/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 375 u1: ml/B st: NotStopd t0: [01:10:00 21/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [01:10:00 21/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [01:10:00 21/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [01:30:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [02:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [02:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [02:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [02:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 21/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [02:00:00 21/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [02:00:00 21/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [02:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [02:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [02:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 540 vu: ml
t0: [02:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [03:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [03:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [03:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [03:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [03:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [03:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [03:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 21/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.3 rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 13.3 rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 26.5 u1: % rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.2 u1: gm/dl rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 438 rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.39 u1: /mic l rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.3 rs: Final st: NotStopd
t0: [03:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml st: Stopped
t0: [03:00:00 21/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 145 rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 145 rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [03:00:00 21/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [00:00:00 21/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 21/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 21/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 21/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 21/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 21/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 21/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [04:00:00 21/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 21/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 21/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 21/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [04:00:00 21/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 21/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 21/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 21/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 21/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [04:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 21/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 21/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 21/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [04:00:00 21/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 21/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 21/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [04:00:00 21/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 21/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 21/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 21/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 21/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Poor st: NotStopd t0: [04:00:00 21/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 21/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 21/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 21/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 21/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 21/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 21/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 21/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 21/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 21/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 21/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 21/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 21/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [04:00:00 21/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 21/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 21/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 21/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [04:00:00 21/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 21/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 21/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 21/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 21/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [04:00:00 21/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 21/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 21/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 90 u1: % st: NotStopd t0: [04:00:00 21/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 21/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 21/09/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [04:00:00 21/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 21/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 21/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [04:00:00 21/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [04:00:00 21/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [04:00:00 21/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 21/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [04:00:00 21/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 21/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 21/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 21/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [04:00:00 21/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 21/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [04:00:00 21/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [04:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 0 vu: ml st: Restart t0: [04:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [04:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [05:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [05:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [05:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [05:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 21/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [05:00:00 21/09/2016] tf: [03:00:00 22/09/2016] dt: 1320 id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [05:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [05:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [06:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [06:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [06:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [06:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 21/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [06:00:00 21/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [06:00:00 21/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [06:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 21/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 123 rs: Manual st: NotStopd
t0: [06:00:00 21/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [06:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [06:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [06:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [06:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 21/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [04:00:00 21/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [04:00:00 21/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 21/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 21/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 21/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [04:00:00 21/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:00:00 21/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 21/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.9 u1: Deg. C st: NotStopd t0: [04:00:00 21/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 21/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 21/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 21/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.2 u1: L/min st: NotStopd t0: [04:00:00 21/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 21/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [04:00:00 21/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [04:00:00 21/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 21/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 21/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 21/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 21/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 375 u1: ml/B st: NotStopd t0: [04:00:00 21/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 21/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 21/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 21/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd
t0: [07:45:00 21/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [07:45:00 21/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [07:45:00 21/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [07:45:00 21/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [07:45:00 21/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [07:45:00 21/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [07:45:00 21/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [07:45:00 21/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [07:45:00 21/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [07:45:00 21/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [07:45:00 21/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [07:45:00 21/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [07:45:00 21/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.4 u1: L/min st: NotStopd t0: [07:45:00 21/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:45:00 21/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [07:45:00 21/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [07:45:00 21/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [07:45:00 21/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [07:45:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [07:45:00 21/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 504 u1: ml/B st: NotStopd t0: [07:45:00 21/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [07:45:00 21/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 21/09/2016] id: Pleural fluid. el: 1 cu: MICU cg: -1 vo: 0 st: D/C'd
t0: [08:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 21/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 21/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [08:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 21/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [08:00:00 21/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 21/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 5 u1: points st: NotStopd t0: [08:00:00 21/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 21/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 21/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [08:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 21/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 21/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [08:00:00 21/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 21/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [08:00:00 21/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 21/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 21/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 21/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 21/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 21/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 21/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 21/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 21/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 21/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 21/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 21/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 3 Abnorm flexion st: NotStopd t0: [08:00:00 21/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 21/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 21/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [08:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [08:00:00 21/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 21/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 21/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [08:00:00 21/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 21/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 21/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 21/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 21/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [08:00:00 21/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 21/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 21/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 21/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 21/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [08:00:00 21/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 21/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 21/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [08:00:00 21/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [08:00:00 21/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [08:00:00 21/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 21/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Icteric v2: Sediment st: NotStopd t0: [08:00:00 21/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 21/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 21/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 21/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 21/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 21/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 21/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 21/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 21/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 21/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 8 u1: number st: NotStopd t0: [08:00:00 21/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd
t0: [08:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 93.42 vu: ml t0: [08:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 120 vu: ml t0: [08:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [08:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [09:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [09:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [09:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [09:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [09:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 21/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [09:00:00 21/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [09:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [09:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [09:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [09:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [14:00:00 21/09/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [09:30:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:30:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:30:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [09:30:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PAC's st: NotStopd t0: [09:30:00 21/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:30:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [09:30:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:30:00 21/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [09:30:00 21/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Poor st: NotStopd t0: [09:30:00 21/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:30:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [09:30:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [09:30:00 21/09/2016] id: Position el: 0 cu: MICU cg: RN st: NotStopd t0: [09:30:00 21/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [09:30:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:30:00 21/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:30:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [09:30:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [09:30:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [09:30:00 21/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Plug st: NotStopd t0: [09:30:00 21/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [09:30:00 21/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [09:30:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:30:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 21/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PAC's st: NotStopd t0: [10:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [10:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [10:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [10:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [10:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [10:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [10:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [10:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [10:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:07:00 21/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [10:07:00 21/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [10:07:00 21/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [10:07:00 21/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [10:07:00 21/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [10:07:00 21/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [10:45:00 21/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [10:45:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [10:45:00 21/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [10:45:00 21/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd
t0: [11:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [11:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [11:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [11:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [11:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 21/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [11:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [11:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [11:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [11:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 21/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [12:00:00 21/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [12:00:00 21/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 21/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 21/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 21/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [12:00:00 21/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [12:00:00 21/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 21/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 21/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [12:00:00 21/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 21/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 21/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.7 u1: L/min st: NotStopd t0: [12:00:00 21/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 21/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [12:00:00 21/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [12:00:00 21/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 21/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [12:00:00 21/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 474 u1: ml/B st: NotStopd t0: [12:00:00 21/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 21/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 21/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 21/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [12:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [12:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [12:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 21/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 21/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.7778 u1: Deg. C st: NotStopd t0: [12:00:00 21/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.8 u1: Deg. F st: NotStopd t0: [12:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [12:00:00 21/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 150 vu: ml t0: [12:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [12:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [12:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 21/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 151 rs: Manual st: NotStopd
t0: [13:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 21/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [13:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 21/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [13:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Frequent st: NotStopd t0: [13:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 21/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [13:00:00 21/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [13:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [13:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 21/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [13:00:00 21/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [13:00:00 21/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [13:00:00 21/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [13:00:00 21/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [13:00:00 21/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [13:00:00 21/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [13:00:00 21/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [13:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [13:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 21/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [13:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [13:00:00 21/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [13:00:00 21/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [13:00:00 21/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [13:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [13:00:00 21/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 21/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 21/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [13:00:00 21/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [13:00:00 21/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [13:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [13:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [13:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [13:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:15:00 21/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:15:00 21/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [13:15:00 21/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [13:15:00 21/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 488 u1: ml/B st: NotStopd t0: [13:15:00 21/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd
tf: [15:00:00 21/09/2016] pt: IV Piggyback rt: SC fr: 3X/WEEK m1: Epoetin Alfa v1: 10000 u1: UNIT m2: Vial v2: 1 u2: VIAL
t0: [12:00:00 21/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 21/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 21/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [14:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [14:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [14:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 21/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 21/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [14:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:30:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:30:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:30:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [14:30:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PAC's st: NotStopd t0: [14:30:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [14:30:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:30:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [14:30:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [14:30:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:30:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [14:30:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:30:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 93 u1: % st: NotStopd t0: [14:30:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [14:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [14:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [14:30:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [14:30:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 23.355 vu: ml t0: [14:30:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml t0: [14:30:00 21/09/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Medium
t0: [14:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:30:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 21/09/2016] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward
tf: [09:00:00 22/09/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [15:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 21/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [15:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [15:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [15:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [15:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [15:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [15:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 23.355 vu: ml t0: [15:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml
t0: [15:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [20:00:00 24/10/2016] pt: IV Piggyback rt: SC fr: 3X/WEEK m1: Epoetin Alfa v1: 15000 u1: UNIT m2: Vial v2: 1 u2: VIAL
t0: [12:00:00 21/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [13:00:00 21/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [13:00:00 21/09/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [14:00:00 21/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 21/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 21/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Poor st: NotStopd t0: [14:00:00 21/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 21/09/2016] id: Position el: 0 cu: MICU cg: RN st: NotStopd t0: [14:00:00 21/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 21/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 21/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [14:00:00 21/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 21/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 21/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [16:00:00 21/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 21/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [16:00:00 21/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 21/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 21/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 21/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [16:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 21/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 21/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [16:00:00 21/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 21/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [16:00:00 21/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 21/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 21/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 21/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [16:00:00 21/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 21/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 21/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 21/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 21/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 21/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 21/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 21/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 21/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 3 Abnorm flexion st: NotStopd t0: [16:00:00 21/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 21/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 21/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [16:00:00 21/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 21/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [16:00:00 21/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 21/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [16:00:00 21/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 21/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 21/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [16:00:00 21/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 21/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 21/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 21/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 21/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 21/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 21/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 21/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [16:00:00 21/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [16:00:00 21/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [16:00:00 21/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 21/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 21/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 21/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 21/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 21/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 21/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [16:00:00 21/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 21/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [16:00:00 21/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 21/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 8 u1: number st: NotStopd t0: [16:00:00 21/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd
t0: [16:00:00 21/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [16:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [16:00:00 21/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [16:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [16:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [16:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:30:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:30:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:30:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:30:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:30:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [16:30:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:30:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 84 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [16:30:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 42 u1: mmHg st: NotStopd t0: [16:30:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:30:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [16:30:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:30:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [16:30:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [09:00:00 22/09/2016] pt: Unit Dose rt: SC fr: DINNER fs: 17 dn: 1 m1: Insulin Glargine v1: 20 u1: UNIT
t0: [17:10:00 21/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [17:10:00 21/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:10:00 21/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:10:00 21/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [17:10:00 21/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:10:00 21/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [17:10:00 21/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:10:00 21/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:10:00 21/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [17:10:00 21/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [17:10:00 21/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [17:10:00 21/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.5 u1: L/min st: NotStopd t0: [17:10:00 21/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:10:00 21/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [17:10:00 21/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [17:10:00 21/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [17:10:00 21/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:10:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [17:10:00 21/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 506 u1: ml/B st: NotStopd t0: [17:10:00 21/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:10:00 21/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [17:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [17:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [17:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [17:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [17:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [17:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [17:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 21/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [17:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [17:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml
t0: [17:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 21/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [18:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [18:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [18:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [18:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [18:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [18:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 21/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 150 vu: ml t0: [18:00:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 46.71 vu: ml t0: [18:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [18:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [18:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: Fentanyl el: 100 cu: MICU cg: RN io: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip id: Ativan el: 100 cu: MICU cg: RN io: D5W 60.0ml + 60mghr Ativan IV Infusions am: 60 du: mghr rt: IV Drip
io: D5W IV Infusions el: 2 cu: MICU cg: RN ra: 100 ru: ml/hr
t0: [18:00:00 21/09/2016] id: D5W 50.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 109 vo: 0 st: D/C'd
tf: [18:00:00 28/09/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Lorazepam v1: 60 u1: mg m2: D5W v2: 60 u2: ml tf: [21:00:00 11/10/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Lorazepam v1: 40 u1: mg m2: D5W v2: 40 u2: ml tf: [10:00:00 12/10/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Fentanyl Citrate v1: 2500 u1: mcg m2: Soln. v2: 50 u2: ml
id: D5W el: 1 cu: MICU cg: RN io: D5W 60.0ml + 60mghr Ativan IV Infusions vo: 60 du: ml rt: Intravenous Push id: D5W el: 2 cu: MICU cg: RN io: D5W IV Infusions du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU cg: RN io: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [18:15:00 21/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd
t0: [18:30:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:30:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:30:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [18:30:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [18:30:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [18:30:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:30:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [18:30:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [18:30:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:30:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [18:30:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:30:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:30:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [18:30:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 23.355 vu: ml t0: [18:30:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml t0: [18:30:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [18:30:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:30:00 21/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 141 rs: Manual st: NotStopd
t0: [18:45:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:45:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:45:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:45:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [18:45:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PAC's st: NotStopd t0: [18:45:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 122 u1: BPM st: NotStopd t0: [18:45:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:45:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [18:45:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [18:45:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:45:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [18:45:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:45:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:45:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:45:00 21/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1.25 vu: ml t0: [18:45:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 11.6775 vu: ml t0: [18:45:00 21/09/2016] id: D5W IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 0 vu: ml nb: 1 t0: [18:45:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 15 vu: ml t0: [18:45:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [18:45:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [19:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [19:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [19:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [19:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [19:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [19:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 21/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 21/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 21/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 21/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 21/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [20:00:00 21/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 21/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 21/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 21/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 21/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [20:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 21/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 21/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [20:00:00 21/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 21/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [20:00:00 21/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 21/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 21/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 21/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 21/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 21/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 21/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 21/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 21/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 21/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 21/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 21/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 21/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 21/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [20:00:00 21/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 21/09/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt st: NotStopd t0: [20:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [20:00:00 21/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 21/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 21/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [20:00:00 21/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 21/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 21/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [20:00:00 21/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 21/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 21/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 21/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 21/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 21/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [20:00:00 21/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [20:00:00 21/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 21/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [20:00:00 21/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 21/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 21/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 21/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 21/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 21/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 21/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 21/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [20:00:00 21/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 21/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 7 u1: number st: NotStopd t0: [20:00:00 21/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd
t0: [20:00:00 21/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [20:00:00 21/09/2016] tf: [08:00:00 26/09/2016] dt: 6480 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 15 vu: ml t0: [20:00:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 58.3875 vu: ml t0: [20:00:00 21/09/2016] tf: [04:45:00 22/09/2016] dt: 525 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [20:00:00 21/09/2016] id: D5W IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 125 vu: ml t0: [20:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 75 vu: ml t0: [20:00:00 21/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml nb: 1 t0: [20:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 725 vu: ml
t0: [20:00:00 21/09/2016] tf: [10:05:00 26/09/2016] dt: 6605 id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 21/09/2016] tf: [10:05:00 26/09/2016] dt: 6605 id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 40 su: ml rt: IV Drip
t0: [20:00:00 21/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.5 u1: Deg. F st: NotStopd
t0: [20:00:00 21/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 55 vu: ml
t0: [23:00:00 21/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 550 ap: none
t0: [20:00:00 21/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [20:00:00 21/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [20:00:00 21/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 21/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 21/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 21/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [20:00:00 21/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:00:00 21/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 21/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 21/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 21/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 21/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 21/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.81 u1: L/min st: NotStopd t0: [20:00:00 21/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 21/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [20:00:00 21/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [20:00:00 21/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 21/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 21/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 485 u1: ml/B st: NotStopd t0: [20:00:00 21/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 21/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 21/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 21/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:30:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 13 vu: ml st: Stopped
t0: [20:30:00 21/09/2016] id: Propofol el: 1 cu: MICU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:31:00 21/09/2016] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [20:30:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:30:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:30:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:30:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [20:30:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [20:30:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [20:30:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:30:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 89 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [20:30:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [20:30:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:30:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [20:30:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [20:30:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [20:30:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:30:00 21/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:30:00 21/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 40 su: ml rt: IV Drip
tf: [20:00:00 22/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Furosemide v1: 80 u1: mg
t0: [21:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [21:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 86 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [21:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [21:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [21:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 21/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [21:00:00 21/09/2016] tf: [10:05:00 26/09/2016] dt: 6545 id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [21:00:00 21/09/2016] id: D5W IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 100 vu: ml t0: [21:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [21:00:00 21/09/2016] tf: [10:05:00 26/09/2016] dt: 6545 id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [21:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [21:00:00 21/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 21/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 40 su: ml rt: IV Drip
t0: [21:30:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:30:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:30:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:30:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:30:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [21:30:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:30:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 87 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [21:30:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [21:30:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:30:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [21:30:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:30:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:30:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 21/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:30:00 21/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 40 su: ml rt: IV Drip
tf: [10:00:00 25/09/2016] pt: IV Piggyback rt: IV fr: BID fs: 5, 17 dn: 2 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml tf: [10:00:00 25/09/2016] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 100 u1: mg
t0: [22:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [22:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [22:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [22:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [22:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [22:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 21/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 21/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 21/09/2016] id: D5W IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 100 vu: ml t0: [22:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [22:00:00 21/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1.25 vu: ml t0: [22:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [22:00:00 21/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 21/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 21/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 21/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 21/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 21/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 21/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 21/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [23:00:00 21/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 21/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [23:00:00 21/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [23:00:00 21/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 21/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [23:00:00 21/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:00:00 21/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 21/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 21/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [23:00:00 21/09/2016] id: D5W IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 100 vu: ml t0: [23:00:00 21/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [23:00:00 21/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [23:00:00 21/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 37 vu: ml
t0: [23:00:00 21/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 21/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 21/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 37 cv: 37 ap: none t0: [23:00:00 21/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 128 cv: 128 ap: none t0: [23:00:00 21/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 105 cv: 2903.91 ap: none t0: [23:00:00 21/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 165 cv: 4833.91 ap: none t0: [23:00:00 21/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 60 cv: 1380 ap: none t0: [23:00:00 21/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 37 cv: 4467 ap: none t0: [23:00:00 21/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 128 cv: 366.91 ap: carryForward t0: [23:00:00 21/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 37 cv: 4467 ap: carryForward t0: [23:00:00 21/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 128 cv: -1928.7 ap: carryForward
t0: [00:00:00 22/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 22/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 22/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 22/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 22/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [00:00:00 22/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 22/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 22/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 22/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 22/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [00:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 22/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 22/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 22/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [00:00:00 22/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 22/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [00:00:00 22/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 22/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 22/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 22/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 22/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 22/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 22/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 22/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 22/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 22/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 22/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 22/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 22/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 22/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 22/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 22/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [00:00:00 22/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 22/09/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [00:00:00 22/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 22/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 22/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [00:00:00 22/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 22/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 22/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 22/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 22/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 22/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 22/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 22/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 22/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 22/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 22/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3889 u1: Deg. C st: NotStopd t0: [00:00:00 22/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.1 u1: Deg. F st: NotStopd t0: [00:00:00 22/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [00:00:00 22/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [00:00:00 22/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 22/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 22/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 22/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 22/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 143 rs: Manual st: NotStopd t0: [00:00:00 22/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 22/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 22/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 30 vu: ml t0: [00:00:00 22/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [00:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [00:00:00 22/09/2016] id: D5W IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 100 vu: ml t0: [00:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [00:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [00:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [00:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 40 su: ml rt: IV Drip
t0: [00:30:00 22/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [00:30:00 22/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [00:30:00 22/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:30:00 22/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:30:00 22/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:30:00 22/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:30:00 22/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [00:30:00 22/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [00:30:00 22/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:30:00 22/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:30:00 22/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:30:00 22/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [00:30:00 22/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:30:00 22/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [00:30:00 22/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.8 u1: L/min st: NotStopd t0: [00:30:00 22/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:30:00 22/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:30:00 22/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [00:30:00 22/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [00:30:00 22/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:30:00 22/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:30:00 22/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:30:00 22/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:30:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:30:00 22/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [00:30:00 22/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:30:00 22/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:30:00 22/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:30:00 22/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [00:46:00 22/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [00:46:00 22/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [01:00:00 22/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [01:00:00 22/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:00:00 22/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [01:00:00 22/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:00:00 22/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [01:00:00 22/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [01:00:00 22/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [01:00:00 22/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.3 u1: L/min st: NotStopd t0: [01:00:00 22/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 22/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [01:00:00 22/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [01:00:00 22/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [01:00:00 22/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [01:00:00 22/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:00:00 22/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [01:00:00 22/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [01:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [01:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [01:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [01:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [01:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 22/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [01:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [01:00:00 22/09/2016] id: D5W IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 100 vu: ml t0: [01:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [01:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [01:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [01:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 40 su: ml rt: IV Drip
t0: [02:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [02:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [02:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [02:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [02:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [02:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 22/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [02:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [02:00:00 22/09/2016] id: D5W IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 100 vu: ml t0: [02:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [02:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [02:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [02:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 40 su: ml rt: IV Drip
t0: [03:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [03:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [03:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [03:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [03:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 22/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [03:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [03:00:00 22/09/2016] id: D5W IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 100 vu: ml t0: [03:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [03:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [03:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 40 su: ml rt: IV Drip
t0: [03:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml st: Stopped
t0: [04:00:00 22/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 22/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 22/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 22/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 22/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 22/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [04:00:00 22/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 22/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 4 u1: points st: NotStopd t0: [04:00:00 22/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 22/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 22/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [04:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 22/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 22/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 22/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [04:00:00 22/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 22/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [04:00:00 22/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 22/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 22/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 22/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 22/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 22/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 22/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 22/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 22/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 22/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 22/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 22/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 22/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 22/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 22/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [04:00:00 22/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 22/09/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [04:00:00 22/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 22/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 22/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 22/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [04:00:00 22/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 22/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 22/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 22/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 22/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 22/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 22/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 22/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 22/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [04:00:00 22/09/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [04:00:00 22/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 22/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 22/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [04:00:00 22/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.5 u1: Deg. F st: NotStopd t0: [04:00:00 22/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [04:00:00 22/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 22/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [04:00:00 22/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 22/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 22/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 22/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [04:00:00 22/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 22/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 22/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 22/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 15 vu: ml t0: [04:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [04:00:00 22/09/2016] id: D5W IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 100 vu: ml t0: [04:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 0 vu: ml st: Restart t0: [04:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [04:00:00 22/09/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Medium t0: [04:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [04:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 22/09/2016] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward
t0: [04:40:00 22/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:40:00 22/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [04:40:00 22/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:40:00 22/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:40:00 22/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:40:00 22/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:40:00 22/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:40:00 22/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:40:00 22/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:40:00 22/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:40:00 22/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:40:00 22/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:40:00 22/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [04:40:00 22/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.7 u1: L/min st: NotStopd t0: [04:40:00 22/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:40:00 22/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:40:00 22/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [04:40:00 22/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [04:40:00 22/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [04:40:00 22/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:40:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [04:40:00 22/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [04:40:00 22/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:40:00 22/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:40:00 22/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:25:00 22/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 17.7 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 4.7 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 73 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 25.4 u1: % rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 7.4 u1: gm/dl rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 412 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.28 u1: /mic l rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd
t0: [04:54:00 22/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [04:54:00 22/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [04:54:00 22/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [04:54:00 22/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [04:54:00 22/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 135 u1: mmHg rs: Final st: NotStopd t0: [04:54:00 22/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [05:00:00 22/09/2016] id: D5W IV Infusions el: 2 cu: MICU cg: -1 ai: 168 vo: 0 st: D/C'd
t0: [04:25:00 22/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 41 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 123 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 41 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 123 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:25:00 22/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [05:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [05:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [05:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [05:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [05:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [05:00:00 22/09/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Blood Cultured st: NotStopd t0: [05:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:45:00 22/09/2016] id: D5W IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 75 vu: ml st: Stopped t0: [05:00:00 22/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [05:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [05:00:00 22/09/2016] tf: [10:05:00 26/09/2016] dt: 6065 id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [05:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [05:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [05:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 40 su: ml rt: IV Drip
t0: [06:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [06:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [06:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [06:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [06:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 22/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 135 rs: Manual st: NotStopd
t0: [06:00:00 22/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [06:00:00 22/09/2016] tf: [14:00:00 02/10/2016] dt: 14880 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 22/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 65 vu: ml t0: [06:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [06:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [06:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [06:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [06:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 40 su: ml rt: IV Drip
t0: [07:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [07:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [07:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [07:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [07:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [07:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [07:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [07:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [07:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [07:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [07:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 775 vu: ml
t0: [07:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 40 su: ml rt: IV Drip
t0: [08:00:00 22/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 22/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 22/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 22/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [08:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 22/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [08:00:00 22/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 22/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 22/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 22/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [08:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 22/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 22/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [08:00:00 22/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 22/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [08:00:00 22/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 22/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 22/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 22/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 22/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 22/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 22/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 22/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 22/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 22/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 22/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 22/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [08:00:00 22/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 22/09/2016] id: Previous Weight el: 0 cu: MICU cg: RN v1: 168 u1: kg st: NotStopd t0: [08:00:00 22/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 22/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 22/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 22/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 22/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 22/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 22/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 22/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 22/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 22/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 22/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 22/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [08:00:00 22/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [08:00:00 22/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [08:00:00 22/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 22/09/2016] id: BSA - English el: 0 cu: MICU cg: RN v1: 1.96396 u1: m2 st: NotStopd t0: [08:00:00 22/09/2016] id: BSA - Metric el: 0 cu: MICU cg: RN v1: 2.27006 u1: m2 st: NotStopd t0: [08:00:00 22/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 22/09/2016] id: Weight Change el: 0 cu: MICU cg: RN v1: 0.9 u1: kg st: NotStopd t0: [08:00:00 22/09/2016] id: Daily Weight el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [08:00:00 22/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 22/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 22/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 22/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 22/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 22/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 22/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 22/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 22/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:11:00 22/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:11:00 22/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [08:11:00 22/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [08:11:00 22/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:11:00 22/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [08:11:00 22/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [08:11:00 22/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [08:11:00 22/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [08:11:00 22/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 5 st: NotStopd t0: [08:11:00 22/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [08:11:00 22/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 14 u1: cmH2O st: NotStopd t0: [08:11:00 22/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 13.2 u1: L/min st: NotStopd t0: [08:11:00 22/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:11:00 22/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [08:11:00 22/09/2016] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 15 u1: . st: NotStopd t0: [08:11:00 22/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [08:11:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [08:11:00 22/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [08:11:00 22/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [08:11:00 22/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 520 u1: ml/B st: NotStopd t0: [08:11:00 22/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [08:11:00 22/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [08:11:00 22/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 22/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 200 vu: ml t0: [08:00:00 22/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [08:00:00 22/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [08:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 22/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [08:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [08:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [08:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [08:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 445 vu: ml
t0: [08:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 40 su: ml rt: IV Drip
t0: [09:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 22/09/2016] id: ETT Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 22/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [09:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 22/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [09:00:00 22/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [09:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [09:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [09:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [09:00:00 22/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 22/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 22/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [09:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 22/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: DONE
t0: [09:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 3 vu: ml t0: [09:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [09:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [09:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [09:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [10:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PAC's st: NotStopd t0: [10:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [10:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 96 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [10:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [10:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [10:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [10:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [10:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [10:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [10:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [10:00:00 22/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 22/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 22/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 22/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 22/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 22/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [10:00:00 22/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 22/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [10:00:00 22/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 22/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
tf: [23:00:00 23/09/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [07:00:00 27/09/2016] pt: Unit Dose rt: NG fr: BID fs: 10, 22 dn: 2 m1: Potassium Chloride v1: 40 u1: mEq
t0: [10:25:00 22/09/2016] id: RSBI (<100) el: 0 cu: MICU cg: -1 v1: 133.333 u1: units st: NotStopd t0: [10:25:00 22/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [10:25:00 22/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [10:25:00 22/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [10:25:00 22/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [10:25:00 22/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [10:25:00 22/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [10:25:00 22/09/2016] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 10 u1: . st: NotStopd t0: [10:25:00 22/09/2016] id: RSBI (<200) el: 0 cu: MICU cg: -1 v1: 133.333 u1: units st: NotStopd t0: [10:25:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [10:25:00 22/09/2016] id: Spon RR (Mech.) el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [10:25:00 22/09/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: -1 v1: 0.3 u1: L st: NotStopd t0: [10:25:00 22/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [10:25:00 22/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd
t0: [11:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [11:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 93 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [11:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [11:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [11:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [11:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 22/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [11:00:00 22/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [11:00:00 22/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [11:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [11:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [11:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [11:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 330 vu: ml
t0: [11:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [12:00:00 22/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 22/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 22/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 22/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 22/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [12:00:00 22/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 22/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 22/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 22/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 22/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [12:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 22/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 22/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [12:00:00 22/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 22/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [12:00:00 22/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 22/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 22/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 22/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 22/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 22/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 22/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 22/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 22/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 22/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 22/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 22/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [12:00:00 22/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [12:00:00 22/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [12:00:00 22/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 22/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 22/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 22/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [12:00:00 22/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 22/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 22/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 22/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 22/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 22/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 22/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [12:00:00 22/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 22/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 22/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 22/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 22/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [12:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 22/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [12:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [12:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [12:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [12:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [12:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [12:00:00 22/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 142 rs: Manual st: NotStopd
t0: [13:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [13:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [13:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [13:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [13:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [13:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [13:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [13:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [13:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
tf: [21:00:00 25/09/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 6, 14, 22 dn: 3 m1: Gentamicin v1: 100 u1: mg m2: Isotonic Sodium Chloride v2: 50 u2: ml
t0: [14:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [14:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 96 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [14:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [14:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [14:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 22/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 22/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [14:00:00 22/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [14:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [14:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [14:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [14:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [14:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [14:00:00 22/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [15:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [15:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [15:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [15:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [15:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [15:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [15:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [15:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [15:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [16:00:00 22/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 22/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 22/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 22/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 22/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [16:00:00 22/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 22/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [16:00:00 22/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 22/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 22/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [16:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 22/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 22/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 22/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 22/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 22/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 22/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 22/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 22/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 22/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 22/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 22/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 22/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 22/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 22/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [16:00:00 22/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [16:00:00 22/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 22/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 22/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [16:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 22/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [16:00:00 22/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 22/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 22/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 22/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 22/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 22/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 22/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 22/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 22/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 22/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [16:00:00 22/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [16:00:00 22/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [16:00:00 22/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 22/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [16:00:00 22/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 22/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 22/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 22/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: done t0: [16:00:00 22/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 22/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [16:00:00 22/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 22/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 22/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 22/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [16:00:00 22/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 22/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [16:00:00 22/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 22/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [16:00:00 22/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [16:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [16:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [16:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [16:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [16:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [16:00:00 22/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 22/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [16:00:00 22/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN st: NotStopd t0: [16:00:00 22/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 22/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [16:00:00 22/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd
tf: [02:00:00 25/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 100 u1: mg
t0: [16:26:00 22/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:26:00 22/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:26:00 22/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:26:00 22/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [16:26:00 22/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [16:26:00 22/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [16:26:00 22/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [16:26:00 22/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 4 st: NotStopd t0: [16:26:00 22/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [16:26:00 22/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 11.4 u1: L/min st: NotStopd t0: [16:26:00 22/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:26:00 22/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [16:26:00 22/09/2016] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 10 u1: . st: NotStopd t0: [16:26:00 22/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [16:26:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:26:00 22/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 423 u1: ml/B st: NotStopd t0: [16:26:00 22/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [16:26:00 22/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [16:26:00 22/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [17:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [17:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [17:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [17:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [17:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 22/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [17:00:00 22/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [17:00:00 22/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [17:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [17:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [17:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [17:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 105 vu: ml
t0: [17:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip
tf: [23:00:00 23/09/2016] pt: Unit Dose rt: SC fr: DINNER fs: 17 dn: 1 m1: Insulin Glargine v1: 30 u1: UNIT
t0: [16:30:00 22/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [16:30:00 22/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd
t0: [18:00:00 22/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 127 rs: Manual st: NotStopd
t0: [18:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [18:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [18:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [18:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [18:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [18:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 22/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [18:00:00 22/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 22/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 240 vu: ml t0: [18:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [18:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [18:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [18:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [18:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip
tf: [17:00:00 23/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 18 dn: 1 m1: Cosyntropin v1: 250 u1: mcg
t0: [18:17:00 22/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [18:17:00 22/09/2016] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [18:17:00 22/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [18:17:00 22/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 45 u1: BPM st: NotStopd t0: [18:17:00 22/09/2016] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:5 st: NotStopd t0: [18:17:00 22/09/2016] id: Airway Size el: 0 cu: MICU cg: -1 v1: 8.5 mm st: NotStopd t0: [18:17:00 22/09/2016] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [18:17:00 22/09/2016] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [18:17:00 22/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 5 st: NotStopd t0: [18:17:00 22/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [18:17:00 22/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 12.1 u1: L/min st: NotStopd t0: [18:17:00 22/09/2016] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [18:17:00 22/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [18:17:00 22/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [18:17:00 22/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [18:17:00 22/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [18:17:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [18:17:00 22/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 505 u1: ml/B st: NotStopd t0: [18:17:00 22/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [18:17:00 22/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CMV st: NotStopd t0: [18:17:00 22/09/2016] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: Drager st: NotStopd t0: [18:17:00 22/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [18:00:00 22/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 22/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2778 u1: Deg. C st: NotStopd t0: [18:00:00 22/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.9 u1: Deg. F st: NotStopd
t0: [17:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [18:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [19:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [19:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [19:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [19:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [19:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [19:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml
t0: [19:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [19:15:00 22/09/2016] id: Vancomycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 21.3 rs: Final st: NotStopd
t0: [20:00:00 22/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 22/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [20:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 22/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 22/09/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt st: NotStopd t0: [20:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [20:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [20:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 22/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 22/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [20:00:00 22/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [20:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [20:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [20:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [20:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [20:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [20:00:00 22/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [20:00:00 22/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 19 t0: [20:00:00 22/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 22/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 22/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 22/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [20:00:00 22/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [20:00:00 22/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:00:00 22/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 22/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 22/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 22/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 22/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 22/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [20:00:00 22/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.5 u1: L/min st: NotStopd t0: [20:00:00 22/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 22/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 22/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [20:00:00 22/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [20:00:00 22/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:00:00 22/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [20:00:00 22/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 22/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 22/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [20:00:00 22/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 22/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 22/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 22/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 22/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [20:00:00 22/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Copious st: NotStopd
t0: [20:00:00 22/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 22/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 22/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 22/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [20:00:00 22/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 22/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 22/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 22/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 22/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 22/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 22/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [20:00:00 22/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN st: NotStopd t0: [20:00:00 22/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 22/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [20:00:00 22/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 22/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 22/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 22/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 22/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 22/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 22/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 22/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 22/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 22/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 22/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 22/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 22/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 22/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 22/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 22/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 22/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 22/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 22/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 22/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 22/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 22/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 22/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 22/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 22/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 22/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 22/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [20:00:00 22/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 22/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 22/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 22/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 22/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 22/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 22/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 22/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 22/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 22/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [20:00:00 22/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 22/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 9 u1: number st: NotStopd t0: [20:00:00 22/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 22/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [20:00:00 22/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml
t0: [23:00:00 22/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 475 ap: none
t0: [21:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [21:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [21:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [21:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [21:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [21:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [21:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [21:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [21:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
tf: [14:00:00 25/09/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 8, 20 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [22:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [22:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [22:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [22:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [22:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [22:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [22:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [22:00:00 22/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [23:00:00 22/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 22/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 22/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 22/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 22/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 22/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [23:00:00 22/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 22/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [23:00:00 22/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:00:00 22/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 22/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [23:00:00 22/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:00:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 22/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 22/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 22/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [23:00:00 22/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [23:00:00 22/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [23:00:00 22/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [23:00:00 22/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 22/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 22/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 80 cv: 80 ap: none t0: [23:00:00 22/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -13.5 cv: -13.5 ap: none t0: [23:00:00 22/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 6.5 cv: 1797.5 ap: none t0: [23:00:00 22/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 66.5 cv: 3652.5 ap: none t0: [23:00:00 22/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 60 cv: 1380 ap: none t0: [23:00:00 22/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 80 cv: 4005 ap: none t0: [23:00:00 22/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -13.5 cv: -352.5 ap: carryForward t0: [23:00:00 22/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 80 cv: 4005 ap: carryForward t0: [23:00:00 22/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -13.5 cv: -2281.2 ap: carryForward
t0: [00:00:00 23/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 23/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 23/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 23/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 23/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [00:00:00 23/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 23/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 23/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 23/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 23/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 23/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [00:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 23/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 23/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 23/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [00:00:00 23/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 23/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [00:00:00 23/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 23/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 23/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 23/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 23/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 23/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 23/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 23/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 23/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 23/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 23/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 23/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 23/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 23/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 23/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 23/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:00:00 23/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 23/09/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [00:00:00 23/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 23/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 23/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [00:00:00 23/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 23/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 23/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 23/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 23/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 23/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 23/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 23/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 23/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 23/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [00:00:00 23/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [00:00:00 23/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [00:00:00 23/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 23/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [00:00:00 23/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 23/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 23/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 23/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 144 rs: Manual st: NotStopd t0: [00:00:00 23/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 23/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 23/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 30 vu: ml t0: [00:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 23/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [00:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [00:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [00:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [00:00:00 23/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [00:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:30:00 22/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 19 t0: [23:30:00 22/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [23:30:00 22/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [23:30:00 22/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [23:30:00 22/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [23:30:00 22/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [23:30:00 22/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [23:30:00 22/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [23:30:00 22/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [23:30:00 22/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [23:30:00 22/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [23:30:00 22/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [23:30:00 22/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [23:30:00 22/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.9 u1: L/min st: NotStopd t0: [23:30:00 22/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [23:30:00 22/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [23:30:00 22/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [23:30:00 22/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [23:30:00 22/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [23:30:00 22/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [23:30:00 22/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [23:30:00 22/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [23:30:00 22/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [23:30:00 22/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [23:30:00 22/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [23:30:00 22/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [23:30:00 22/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [23:30:00 22/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [00:30:00 23/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd
t0: [01:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [01:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [01:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [01:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [01:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [01:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [01:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [01:00:00 23/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [01:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [01:30:00 23/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [01:30:00 23/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 19 t0: [01:30:00 23/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [01:30:00 23/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:30:00 23/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [01:30:00 23/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [01:30:00 23/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [01:30:00 23/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [01:30:00 23/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:30:00 23/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [01:30:00 23/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [01:30:00 23/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [01:30:00 23/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [01:30:00 23/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.7 u1: L/min st: NotStopd t0: [01:30:00 23/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:30:00 23/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [01:30:00 23/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [01:30:00 23/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [01:30:00 23/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [01:30:00 23/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [01:30:00 23/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:30:00 23/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:30:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [01:30:00 23/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 485 u1: ml/B st: NotStopd t0: [01:30:00 23/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [01:30:00 23/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [01:30:00 23/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [01:30:00 23/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [02:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [02:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [02:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [02:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [02:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [02:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [02:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [02:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [02:00:00 23/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [02:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [03:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [03:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [03:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [03:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [03:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [03:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [03:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [03:00:00 23/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [03:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [04:00:00 23/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [04:00:00 23/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 23/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 19 t0: [04:00:00 23/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 23/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 23/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 23/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [04:00:00 23/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [04:00:00 23/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:00:00 23/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 23/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 23/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 23/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 23/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 23/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 23/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.1 u1: L/min st: NotStopd t0: [04:00:00 23/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 23/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 23/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [04:00:00 23/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [04:00:00 23/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 23/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:00:00 23/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 23/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [04:00:00 23/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 485 u1: ml/B st: NotStopd t0: [04:00:00 23/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 23/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 23/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 23/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 23/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 23/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 23/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 23/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 23/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [04:00:00 23/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 23/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 4 u1: points st: NotStopd t0: [04:00:00 23/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 23/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 23/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [04:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 23/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 23/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 23/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [04:00:00 23/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 23/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [04:00:00 23/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 23/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 23/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 23/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 23/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 23/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 23/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 23/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 23/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 23/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 23/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 23/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 23/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 23/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 23/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [04:00:00 23/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 23/09/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [04:00:00 23/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 23/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 23/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 23/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [04:00:00 23/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 23/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 23/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 23/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 23/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 23/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 23/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 23/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 23/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [04:00:00 23/09/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [04:00:00 23/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 23/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 23/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [04:00:00 23/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.5 u1: Deg. F st: NotStopd t0: [04:00:00 23/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [04:00:00 23/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 23/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [04:00:00 23/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 23/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 23/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 23/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [04:00:00 23/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 23/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 23/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [04:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [04:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [04:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [04:00:00 23/09/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large t0: [04:00:00 23/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [04:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 23/09/2016] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward
t0: [04:15:00 23/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 26.2 u1: % rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 7.8 u1: gm/dl rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 450 rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.3 u1: /mic l rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd
t0: [05:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [05:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [05:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [05:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [05:00:00 23/09/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Blood Cultured st: NotStopd t0: [05:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 23/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [05:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [05:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [05:00:00 23/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [05:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [04:15:00 23/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 45 rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 108 rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 125 rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 45 rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 108 rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 125 rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [04:15:00 23/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd
t0: [05:45:00 23/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 19 t0: [05:45:00 23/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:45:00 23/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:45:00 23/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [05:45:00 23/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [05:45:00 23/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [05:45:00 23/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:45:00 23/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:45:00 23/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [05:45:00 23/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [05:45:00 23/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [05:45:00 23/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.5 u1: L/min st: NotStopd t0: [05:45:00 23/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:45:00 23/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [05:45:00 23/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [05:45:00 23/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [05:45:00 23/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [05:45:00 23/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:45:00 23/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:45:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [05:45:00 23/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [05:45:00 23/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:45:00 23/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [06:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [06:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [06:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [06:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [06:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [06:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 23/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 150 vu: ml t0: [06:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 23/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 65 vu: ml t0: [06:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [06:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [06:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [06:00:00 23/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [06:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [04:15:00 23/09/2016] id: Vancomycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 15.1 rs: Final st: NotStopd
t0: [06:00:00 23/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 156 rs: Manual st: NotStopd t0: [07:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [07:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [07:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [07:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [07:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [07:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [07:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [07:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [07:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [07:00:00 23/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 800 vu: ml
t0: [07:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [08:00:00 23/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [08:00:00 23/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 19 t0: [08:00:00 23/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 23/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 23/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [08:00:00 23/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [08:00:00 23/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [08:00:00 23/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 23/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 23/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:00:00 23/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 23/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 23/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.4 u1: L/min st: NotStopd t0: [08:00:00 23/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 23/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [08:00:00 23/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [08:00:00 23/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 23/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [08:00:00 23/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 435 u1: ml/B st: NotStopd t0: [08:00:00 23/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 23/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 23/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 23/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [08:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [08:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [08:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [08:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [08:00:00 23/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 23/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 23/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 23/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3889 u1: Deg. C st: NotStopd t0: [08:00:00 23/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.1 u1: Deg. F st: NotStopd t0: [08:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [08:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [08:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [08:00:00 23/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 500 vu: ml
t0: [08:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [08:00:00 23/09/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 23/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 23/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 23/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [08:00:00 23/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 23/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 4 u1: points st: NotStopd t0: [08:00:00 23/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 23/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 23/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 23/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 23/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [08:00:00 23/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 23/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [08:00:00 23/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 23/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 23/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 23/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 23/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 23/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 23/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 23/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 23/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 23/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 23/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 23/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 23/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 23/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 23/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 23/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 23/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 23/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 23/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 23/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 23/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 23/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 23/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 23/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 23/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [08:00:00 23/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 23/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 23/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 23/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 23/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 23/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 23/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 23/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 23/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 23/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 23/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 23/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 23/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 23/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 300 vu: ml t0: [08:00:00 23/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [08:00:00 23/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml
t0: [09:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [09:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 93 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [09:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [09:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [09:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [09:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [09:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [09:00:00 23/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [09:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [10:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [10:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 91 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [10:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [10:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [10:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [10:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [10:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [10:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml
t0: [10:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [07:00:00 23/09/2016] id: Gentamycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 6.3 rs: Final st: NotStopd
t0: [11:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 23/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [11:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [11:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [11:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [11:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [11:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 23/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [11:00:00 23/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [11:00:00 23/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [11:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [11:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [11:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [11:00:00 23/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [11:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [05:28:00 23/09/2016] id: Gentamycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 2.9 rs: Final st: NotStopd
t0: [12:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [12:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [12:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [12:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [12:00:00 23/09/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Bronchoscopy st: NotStopd t0: [12:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [12:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [12:00:00 23/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 23/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 23/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [12:00:00 23/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 23/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [12:00:00 23/09/2016] id: Rec. Breath Pressure el: 0 cu: MICU cg: RRT v1: 35 st: NotStopd t0: [12:00:00 23/09/2016] id: Rec.Breath Time(sec) el: 0 cu: MICU cg: RRT v1: 60 st: NotStopd t0: [12:00:00 23/09/2016] id: Recruit Breath el: 0 cu: MICU cg: RRT v1: Other st: NotStopd t0: [12:00:00 23/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [12:30:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:30:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:30:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:30:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:30:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [12:30:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:30:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:30:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [12:30:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:30:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [12:30:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [12:30:00 23/09/2016] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd t0: [12:30:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:30:00 23/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:30:00 23/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [12:30:00 23/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [12:30:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [13:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 71 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [13:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 42 u1: mmHg st: NotStopd t0: [13:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 23/09/2016] id: Previous Weight el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [13:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [13:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [13:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 250 vu: ml t0: [12:30:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1.5 vu: ml t0: [12:30:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 90 vu: ml t0: [12:30:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.75 vu: ml t0: [13:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0.5 vu: ml t0: [13:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml t0: [13:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.25 vu: ml t0: [13:00:00 23/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [12:30:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:30:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [13:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [13:00:00 23/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 129 rs: Manual st: NotStopd
t0: [13:00:00 23/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [13:00:00 23/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 19 t0: [13:00:00 23/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [13:00:00 23/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 23/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [13:00:00 23/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [13:00:00 23/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [13:00:00 23/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [13:00:00 23/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 23/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [13:00:00 23/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [13:00:00 23/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [13:00:00 23/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [13:00:00 23/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [13:00:00 23/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [13:00:00 23/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [13:00:00 23/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [13:00:00 23/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [13:00:00 23/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [13:00:00 23/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [13:00:00 23/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [13:00:00 23/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 477 u1: ml/B st: NotStopd t0: [13:00:00 23/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:00:00 23/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [13:00:00 23/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [13:00:00 23/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [13:00:00 23/09/2016] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd t0: [13:30:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:30:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:30:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:30:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:30:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [13:30:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:30:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [13:30:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [13:30:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:30:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [13:30:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:30:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:30:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [14:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 93 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [14:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [14:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [14:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 250 vu: ml
t0: [13:30:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:30:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [14:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [14:30:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:30:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:30:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:30:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:30:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [14:30:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:30:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [14:30:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [14:30:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:30:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [14:30:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:30:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:30:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:30:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [15:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [15:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [15:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [15:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [15:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 23/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 500 vu: ml t0: [15:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [15:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 120 vu: ml t0: [15:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml
t0: [15:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [17:00:00 23/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [17:00:00 23/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 19 t0: [17:00:00 23/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 23/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 23/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [17:00:00 23/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [17:00:00 23/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [17:00:00 23/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [17:00:00 23/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 23/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:00:00 23/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [17:00:00 23/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [17:00:00 23/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [17:00:00 23/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [17:00:00 23/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [17:00:00 23/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [17:00:00 23/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [17:00:00 23/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [17:00:00 23/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [17:00:00 23/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [17:00:00 23/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [17:00:00 23/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 526 u1: ml/B st: NotStopd t0: [17:00:00 23/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 23/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [17:00:00 23/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [17:00:00 23/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [16:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [16:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [16:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [16:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 23/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 23/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [16:00:00 23/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [16:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [17:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [17:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [17:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [17:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 23/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [16:00:00 23/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [16:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [16:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [16:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml
t0: [16:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [17:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [17:00:00 23/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [17:00:00 23/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [17:00:00 23/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [17:00:00 23/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [17:00:00 23/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [17:00:00 23/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [17:00:00 23/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 23/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [17:00:00 23/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [17:00:00 23/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [17:00:00 23/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [17:00:00 23/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [17:00:00 23/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [17:00:00 23/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 23/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 23/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [17:00:00 23/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [17:00:00 23/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [17:00:00 23/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 23/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [17:00:00 23/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [17:00:00 23/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 23/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 23/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [17:00:00 23/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 23/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 23/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [17:00:00 23/09/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [17:00:00 23/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [17:00:00 23/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [17:00:00 23/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [17:00:00 23/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 23/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 23/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [17:00:00 23/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [17:00:00 23/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [17:00:00 23/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [17:00:00 23/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [17:00:00 23/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [17:00:00 23/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [17:00:00 23/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [17:00:00 23/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [18:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [18:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [18:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [18:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [18:00:00 23/09/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Blood Cultured st: NotStopd t0: [18:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 23/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 136 rs: Manual st: NotStopd
t0: [17:00:00 23/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [17:00:00 23/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [18:00:00 23/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [18:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 23/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [18:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [18:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 120 vu: ml t0: [18:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [18:00:00 23/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 260 vu: ml
t0: [18:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 23/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 765 ap: none
t0: [18:15:00 23/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [18:30:00 23/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [18:30:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [18:30:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0.5 vu: ml t0: [18:30:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml t0: [18:30:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.25 vu: ml
t0: [19:00:00 23/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [19:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [19:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [19:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [19:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [19:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 23/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [20:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [20:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [20:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [20:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [21:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [21:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [21:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [21:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [20:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [21:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [20:00:00 23/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [20:00:00 23/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 19 t0: [20:00:00 23/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 23/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 23/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 23/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 23/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:00:00 23/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 23/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 23/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 23/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 23/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 23/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.5 u1: L/min st: NotStopd t0: [20:00:00 23/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 23/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [20:00:00 23/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [20:00:00 23/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 23/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 23/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [20:00:00 23/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 23/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 23/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 23/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [19:30:00 23/09/2016] id: Vancomycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 19.3 rs: Final st: NotStopd
t0: [20:00:00 23/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 23/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 23/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 23/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 23/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 23/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [20:00:00 23/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 23/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 23/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 23/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [20:00:00 23/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 23/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 23/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [20:00:00 23/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 23/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [20:00:00 23/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 23/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 23/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 23/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 23/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 23/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 23/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 23/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 23/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 23/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 23/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 23/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 23/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 23/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 23/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 23/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 23/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 23/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 23/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 23/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 23/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 23/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 23/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 23/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 23/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 23/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 23/09/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [20:00:00 23/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [20:00:00 23/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 23/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [20:00:00 23/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 23/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 23/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 23/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 23/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 23/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [20:00:00 23/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 23/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [22:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [22:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [22:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [22:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [22:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 23/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [20:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [20:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1.5 vu: ml t0: [20:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 90 vu: ml t0: [20:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.75 vu: ml t0: [20:00:00 23/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [21:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [21:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [21:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [22:00:00 23/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [22:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [22:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [22:00:00 23/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [22:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 23/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 23/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 3930 ap: none t0: [23:00:00 23/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 3930 ap: carryForward
t0: [20:00:00 23/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 23/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [20:00:00 23/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [22:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 23/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 23/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 23/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 23/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 23/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 23/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [23:00:00 23/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 23/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [23:00:00 23/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [23:00:00 23/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 23/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [23:00:00 23/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:00:00 23/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 23/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 24/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 24/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 24/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 24/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 24/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 24/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [00:00:00 24/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 24/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 24/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 24/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 24/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [00:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [00:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 24/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 24/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [00:00:00 24/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 24/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 24/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [00:00:00 24/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 24/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 24/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 24/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 24/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 24/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 24/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 24/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [00:00:00 24/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 24/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 24/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [00:00:00 24/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [00:00:00 24/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 24/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [00:00:00 24/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 24/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 24/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 24/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 24/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 24/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 24/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 24/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 24/09/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [00:00:00 24/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [00:00:00 24/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 24/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 24/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [00:00:00 24/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [00:00:00 24/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 24/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 24/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 24/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [23:00:00 23/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 23/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [23:00:00 23/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [23:00:00 23/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [00:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [00:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [00:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [00:00:00 24/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [23:00:00 23/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 23/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [00:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 23/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 66.5 cv: 66.5 ap: none t0: [23:00:00 23/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 6.5 cv: 1896 ap: none t0: [23:00:00 23/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 66.5 cv: 4101 ap: none t0: [23:00:00 23/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 60 cv: 1440 ap: none t0: [23:00:00 23/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 66.5 cv: 171 ap: carryForward t0: [23:00:00 23/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 66.5 cv: -2110.2 ap: carryForward t0: [23:00:00 24/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 24/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 3870 ap: none t0: [23:00:00 24/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 3970 ap: none
t0: [00:00:00 24/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [00:00:00 24/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 19 t0: [00:00:00 24/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 24/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 24/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:00:00 24/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 24/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [00:00:00 24/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 24/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 24/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 24/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 24/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 24/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.3 u1: L/min st: NotStopd t0: [00:00:00 24/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 24/09/2016] id: Peak Flow el: 0 cu: MICU cg: RRT u1: L/m st: NotStopd t0: [00:00:00 24/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 24/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [00:00:00 24/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 24/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 24/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [00:00:00 24/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 24/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 24/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 24/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
tf: [23:00:00 23/09/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [11:00:00 24/09/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [01:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [01:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [01:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [01:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 24/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [01:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [01:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [01:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml
t0: [01:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 24/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 66.5 cv: 66.5 ap: none t0: [23:00:00 24/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 6.5 cv: 856 ap: none t0: [23:00:00 24/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 66.5 cv: 2841 ap: none t0: [23:00:00 24/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 60 cv: 1425 ap: none t0: [23:00:00 24/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 66.5 cv: -1129 ap: none t0: [23:00:00 24/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 66.5 cv: -3239.2 ap: carryForward
t0: [00:00:00 24/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 50 rs: Final st: NotStopd t0: [00:00:00 24/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 106 rs: Final st: NotStopd t0: [00:00:00 24/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [00:00:00 24/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 130 rs: Final st: NotStopd t0: [00:00:00 24/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [00:00:00 24/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 145 rs: Final st: NotStopd t0: [00:00:00 24/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 50 rs: Final st: NotStopd t0: [00:00:00 24/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [00:00:00 24/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 106 rs: Final st: NotStopd t0: [00:00:00 24/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [00:00:00 24/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 130 rs: Final st: NotStopd t0: [00:00:00 24/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [00:00:00 24/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 145 rs: Final st: NotStopd
t0: [00:00:00 24/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 24/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [04:00:00 24/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [04:00:00 24/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 24/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [04:00:00 24/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 24/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 24/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 24/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:00:00 24/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 24/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 24/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 24/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 24/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 24/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [04:00:00 24/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 24/09/2016] id: Peak Flow el: 0 cu: MICU cg: RRT u1: L/m st: NotStopd t0: [04:00:00 24/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [04:00:00 24/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [04:00:00 24/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 24/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [04:00:00 24/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 24/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 24/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [04:00:00 24/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 24/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 24/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 24/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [02:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 122 u1: BPM st: NotStopd t0: [02:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 24/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [02:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 42 u1: BPM st: NotStopd t0: [02:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [03:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 94 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [03:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [03:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 24/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [03:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 24/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 24/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 24/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 24/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 24/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 24/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 24/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [04:00:00 24/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 24/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 24/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 24/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 24/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [04:00:00 24/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [04:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 24/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 24/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [04:00:00 24/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 24/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [04:00:00 24/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 24/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 24/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 24/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 24/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 24/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 24/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 24/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 24/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [04:00:00 24/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 24/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 24/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 24/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [04:00:00 24/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [04:00:00 24/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 24/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 24/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 24/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 24/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [04:00:00 24/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 24/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 24/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 24/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 24/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 24/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 24/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 24/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 24/09/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [04:00:00 24/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [04:00:00 24/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 24/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [04:00:00 24/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 24/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 24/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 24/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 24/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 24/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [05:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [05:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [05:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [05:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 24/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [05:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [02:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [02:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [02:00:00 24/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [03:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [03:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [03:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [04:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [04:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [04:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [04:00:00 24/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [05:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [05:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [05:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml
t0: [02:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [03:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [04:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [05:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [02:00:00 24/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [02:00:00 24/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.1111 u1: Deg. C st: NotStopd t0: [02:00:00 24/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.4 u1: Deg. F st: NotStopd t0: [03:00:00 24/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [03:00:00 24/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5556 u1: Deg. C st: NotStopd t0: [03:00:00 24/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.4 u1: Deg. F st: NotStopd t0: [05:00:00 24/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [05:00:00 24/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.2222 u1: Deg. C st: NotStopd t0: [05:00:00 24/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.6 u1: Deg. F st: NotStopd
t0: [04:45:00 24/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 15.8 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 15.8 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 25.2 u1: % rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 7.7 u1: gm/dl rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 466 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.19 u1: /mic l rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 15.8 rs: Final st: NotStopd
t0: [04:45:00 24/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 106 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 145 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 106 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 145 rs: Final st: NotStopd
t0: [06:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [06:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [06:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [06:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 24/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 168.9 u1: kg st: NotStopd t0: [06:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [06:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [06:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [06:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [06:00:00 24/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [06:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [05:44:00 24/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [05:44:00 24/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [05:44:00 24/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [05:44:00 24/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [05:44:00 24/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 132 u1: mmHg rs: Final st: NotStopd t0: [05:44:00 24/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [04:45:00 24/09/2016] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 12.5 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [04:45:00 24/09/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 81 rs: Final st: NotStopd
t0: [08:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [08:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [08:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [08:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 24/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 24/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 24/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 24/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.1667 u1: Deg. C st: NotStopd t0: [08:00:00 24/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.5 u1: Deg. F st: NotStopd t0: [08:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 24/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [08:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 24/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [08:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [08:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 120 vu: ml t0: [08:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [08:00:00 24/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 950 vu: ml
t0: [08:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [08:00:00 24/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [08:00:00 24/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [08:00:00 24/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [08:00:00 24/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 24/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 24/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 24/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 24/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [08:00:00 24/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [08:00:00 24/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 24/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 24/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:00:00 24/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 24/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 24/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [08:00:00 24/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.4 u1: L/min st: NotStopd t0: [08:00:00 24/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 24/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 24/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [08:00:00 24/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [08:00:00 24/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 24/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [08:00:00 24/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 24/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 24/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 521 u1: ml/B st: NotStopd t0: [08:00:00 24/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 24/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 24/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 24/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [09:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 24/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [09:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 24/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [09:00:00 24/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [09:00:00 24/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [09:00:00 24/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [09:00:00 24/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 24/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [09:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [09:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 24/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [09:00:00 24/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [09:00:00 24/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 24/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [09:00:00 24/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [09:00:00 24/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 24/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [09:00:00 24/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [09:00:00 24/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [09:00:00 24/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [09:00:00 24/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 24/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 24/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [09:00:00 24/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [09:00:00 24/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [09:00:00 24/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [09:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [09:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 24/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [09:00:00 24/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [09:00:00 24/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 24/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 24/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [09:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [09:00:00 24/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 24/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 24/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [09:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 24/09/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [09:00:00 24/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [09:00:00 24/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [09:00:00 24/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [09:00:00 24/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [09:00:00 24/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [09:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 24/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [09:00:00 24/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [09:00:00 24/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [09:00:00 24/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [09:00:00 24/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [09:00:00 24/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [09:00:00 24/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [09:00:00 24/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 9 u1: number st: NotStopd t0: [09:00:00 24/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [09:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [08:00:00 24/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [08:30:00 24/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [09:00:00 24/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml
t0: [09:00:00 24/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [09:00:00 24/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [10:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [10:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [10:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 24/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 24/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [10:00:00 24/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [10:00:00 24/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [10:00:00 24/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [10:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [10:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 120 vu: ml t0: [10:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [10:00:00 24/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [10:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [11:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [11:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [11:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [11:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [11:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [11:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [11:00:00 24/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [11:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [11:30:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [11:30:00 24/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 500 vu: ml t0: [11:30:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0.5 vu: ml t0: [11:30:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml t0: [11:30:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.25 vu: ml
t0: [23:00:00 24/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 560 ap: none
t0: [12:00:00 24/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [12:00:00 24/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [12:00:00 24/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [12:00:00 24/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 24/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 24/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 24/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:00:00 24/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [12:00:00 24/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [12:00:00 24/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 24/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 24/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [12:00:00 24/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 24/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 24/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [12:00:00 24/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [12:00:00 24/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 24/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 24/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [12:00:00 24/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [12:00:00 24/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [12:00:00 24/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [12:00:00 24/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 24/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 24/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 522 u1: ml/B st: NotStopd t0: [12:00:00 24/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 24/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 24/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 24/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
tf: [08:00:00 26/09/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [12:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [12:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [12:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [12:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 24/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 162 rs: Manual st: NotStopd
t0: [12:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [13:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [13:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [13:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [13:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [13:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1.5 vu: ml t0: [13:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 90 vu: ml t0: [13:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.75 vu: ml t0: [13:00:00 24/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [13:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [14:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 24/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [14:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 24/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 24/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [14:00:00 24/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [14:00:00 24/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [14:00:00 24/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [14:00:00 24/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 24/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [14:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [14:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 24/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [14:00:00 24/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [14:00:00 24/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 24/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:00:00 24/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [14:00:00 24/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 24/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [14:00:00 24/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [14:00:00 24/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [14:00:00 24/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [14:00:00 24/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 24/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 24/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 24/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [14:00:00 24/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [14:00:00 24/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [14:00:00 24/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [14:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [14:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 24/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [14:00:00 24/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [14:00:00 24/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 24/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 24/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [14:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 24/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 24/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 24/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [14:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 24/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [14:00:00 24/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 24/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [14:00:00 24/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [14:00:00 24/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 24/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 24/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 24/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [14:00:00 24/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [14:00:00 24/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [14:00:00 24/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [14:00:00 24/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [14:00:00 24/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [14:00:00 24/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [14:00:00 24/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 9 u1: number st: NotStopd t0: [14:00:00 24/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [14:00:00 24/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [14:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [14:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [14:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [14:00:00 24/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [14:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [16:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [16:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [16:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [16:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [16:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 120 vu: ml t0: [16:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [16:00:00 24/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [16:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [16:00:00 24/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [16:00:00 24/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [16:00:00 24/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [16:00:00 24/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 24/09/2016] id: ETT Position Change el: 0 cu: MICU cg: RRT v1: Done st: NotStopd t0: [16:00:00 24/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 24/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 24/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:00:00 24/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [16:00:00 24/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [16:00:00 24/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 24/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 24/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:00:00 24/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 24/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 24/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [16:00:00 24/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [16:00:00 24/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 24/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 24/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [16:00:00 24/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [16:00:00 24/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [16:00:00 24/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [16:00:00 24/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 24/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [16:00:00 24/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [16:00:00 24/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 24/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 466 u1: ml/B st: NotStopd t0: [16:00:00 24/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 24/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 24/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 24/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [17:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 94 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [17:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [17:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [16:00:00 24/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vu: ml t0: [17:00:00 24/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [18:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [18:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [18:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [18:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 24/09/2016] tf: [08:00:00 09/10/2016] dt: 21180 id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [18:00:00 24/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 150 vu: ml t0: [18:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [18:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 120 vu: ml t0: [18:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [18:00:00 24/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [18:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 24/09/2016] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 100 ap: none
t0: [18:45:00 24/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [18:45:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 3.75 vu: ml t0: [18:45:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0.75 vu: ml t0: [18:45:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 45 vu: ml t0: [18:45:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.375 vu: ml
t0: [19:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [19:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [19:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [19:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [19:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [20:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 96 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [20:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [20:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 24/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 24/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [20:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [20:46:00 24/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [20:46:00 24/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [20:46:00 24/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:46:00 24/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:46:00 24/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:46:00 24/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:46:00 24/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [20:46:00 24/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:46:00 24/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:46:00 24/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.1 u1: Deg. C st: NotStopd t0: [20:46:00 24/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:46:00 24/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [20:46:00 24/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:46:00 24/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [20:46:00 24/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.26 u1: L/min st: NotStopd t0: [20:46:00 24/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:46:00 24/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:46:00 24/09/2016] id: Peak Flow el: 0 cu: MICU cg: RRT u1: L/m st: NotStopd t0: [20:46:00 24/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [20:46:00 24/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:46:00 24/09/2016] id: Auto-PEEP Level el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [20:46:00 24/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [20:46:00 24/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [20:46:00 24/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:46:00 24/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:46:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:46:00 24/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 465 u1: ml/B st: NotStopd t0: [20:46:00 24/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:46:00 24/09/2016] id: Total PEEP Level el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:46:00 24/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:46:00 24/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:46:00 24/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 24/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 24/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 24/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 24/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [20:00:00 24/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 24/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 24/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 24/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 24/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [20:00:00 24/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 24/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 24/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [20:00:00 24/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 24/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [20:00:00 24/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 24/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 24/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 24/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 24/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 24/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 24/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 24/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 24/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 24/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 24/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 24/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 24/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 24/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 24/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 24/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 24/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 24/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 24/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 24/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 24/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 24/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 24/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 24/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 24/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 24/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 24/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [20:00:00 24/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 24/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 24/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 24/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 24/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 24/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [21:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [21:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [21:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [21:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [21:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [22:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [22:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [22:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 6.25 vu: ml t0: [20:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1.25 vu: ml t0: [20:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [20:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.625 vu: ml t0: [20:00:00 24/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [21:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [21:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [21:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [22:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [22:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [22:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [22:00:00 24/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [21:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [22:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
tf: [23:00:00 23/09/2016] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Glargine v1: 40 u1: UNIT tf: [11:00:00 24/09/2016] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Glargine v1: 40 u1: UNIT tf: [08:00:00 26/09/2016] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Glargine v1: 50 u1: UNIT
t0: [00:00:00 25/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [00:00:00 25/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [00:00:00 25/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 25/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 25/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 25/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [00:00:00 25/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [00:00:00 25/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 25/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.1 u1: Deg. C st: NotStopd t0: [00:00:00 25/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 25/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 25/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 25/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [00:00:00 25/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 25/09/2016] id: Peak Flow el: 0 cu: MICU cg: RRT u1: L/m st: NotStopd t0: [00:00:00 25/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 25/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:00:00 25/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 25/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:00:00 25/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 25/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 25/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 25/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 25/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 24/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 24/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 24/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 24/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 24/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 24/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [20:00:00 24/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [22:00:00 24/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [22:00:00 24/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [23:00:00 24/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 24/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 24/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 24/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 24/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 24/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [23:00:00 24/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 24/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [23:00:00 24/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [23:00:00 24/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 24/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 24/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 24/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 25/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 25/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 25/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 25/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 25/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 25/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [00:00:00 25/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 25/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 25/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 25/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [00:00:00 25/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [00:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 25/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 25/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [00:00:00 25/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 25/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [00:00:00 25/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 25/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 25/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 25/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 25/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 25/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 25/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 25/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 25/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [00:00:00 25/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 25/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 25/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 25/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 25/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 25/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 25/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 25/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 25/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 25/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 25/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 25/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 25/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 25/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 25/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 25/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 25/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 25/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 25/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 25/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [00:00:00 25/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [00:00:00 25/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [00:00:00 25/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 25/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 25/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 25/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 25/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 25/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: done t0: [00:00:00 25/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 25/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 130 rs: Manual st: NotStopd t0: [00:00:00 25/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [23:00:00 24/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 24/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [23:00:00 24/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [23:00:00 24/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [00:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [00:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [00:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [00:00:00 25/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [23:00:00 24/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 24/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [00:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [01:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [01:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 94 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [01:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [01:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [01:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [01:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml
t0: [01:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [02:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [02:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 96 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [02:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [02:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [02:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [02:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [02:00:00 25/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [02:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 25/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 25/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 91.5 cv: 91.5 ap: none t0: [23:00:00 25/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 6.5 cv: 1406 ap: none t0: [23:00:00 25/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 91.5 cv: 5466 ap: none t0: [23:00:00 25/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 85 cv: 1565 ap: none t0: [23:00:00 25/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 4145 ap: none t0: [23:00:00 25/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 91.5 cv: 1321 ap: none t0: [23:00:00 25/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 4145 ap: none t0: [23:00:00 25/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 91.5 cv: -1918.21 ap: carryForward
t0: [00:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 59 u2: mmHg st: NotStopd
t0: [04:32:00 25/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [04:32:00 25/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [04:32:00 25/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 35 rs: Final st: NotStopd t0: [04:32:00 25/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [04:32:00 25/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 133 u1: mmHg rs: Final st: NotStopd t0: [04:32:00 25/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [04:27:00 25/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.4 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 11.4 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 20 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 71.6 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 23.7 u1: % rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 7 u1: gm/dl rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 402 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.07 u1: /mic l rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.4 rs: Final st: NotStopd
t0: [04:27:00 25/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 59 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 106 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4.8 u1: mEq/L rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 145 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 59 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 106 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.8 u1: mEq/L rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [04:27:00 25/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 145 rs: Final st: NotStopd
t0: [01:00:00 25/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [01:00:00 25/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [03:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [03:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 84 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [03:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 47 u1: mmHg st: NotStopd t0: [03:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 25/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [03:00:00 25/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [03:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 25/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 25/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 25/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 25/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 25/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 25/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 25/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [04:00:00 25/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 25/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 25/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 25/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 25/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [04:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [04:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 25/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 25/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 25/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [04:00:00 25/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 25/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [04:00:00 25/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 25/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 25/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 25/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 25/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 25/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 25/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 25/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [04:00:00 25/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 25/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 25/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 92 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [04:00:00 25/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [04:00:00 25/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 25/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 25/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 25/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 25/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 25/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 25/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 25/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 25/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 25/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 25/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 25/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [04:00:00 25/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [04:00:00 25/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 25/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 25/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 25/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 25/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [05:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [05:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [05:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [05:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 24/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 25/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [03:00:00 25/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 500 vu: ml t0: [03:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [03:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [03:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [04:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [04:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [04:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [04:00:00 25/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [05:00:00 25/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [05:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [05:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml
t0: [03:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [04:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [05:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [06:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [06:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [06:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [06:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 25/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [06:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 25/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [06:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [06:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [06:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [06:00:00 25/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [06:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [05:56:00 25/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [05:56:00 25/09/2016] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 146.154 u1: units st: NotStopd t0: [05:56:00 25/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [05:56:00 25/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:56:00 25/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:56:00 25/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [05:56:00 25/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:56:00 25/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [05:56:00 25/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [05:56:00 25/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:56:00 25/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:56:00 25/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [05:56:00 25/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [05:56:00 25/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [05:56:00 25/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [05:56:00 25/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [05:56:00 25/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:56:00 25/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [05:56:00 25/09/2016] id: Peak Flow el: 0 cu: MICU cg: RRT u1: L/m st: NotStopd t0: [05:56:00 25/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [05:56:00 25/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [05:56:00 25/09/2016] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 146.154 u1: units st: NotStopd t0: [05:56:00 25/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [05:56:00 25/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [05:56:00 25/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:56:00 25/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:56:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [05:56:00 25/09/2016] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 38 u1: BPM st: NotStopd t0: [05:56:00 25/09/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.26 u1: L st: NotStopd t0: [05:56:00 25/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [05:56:00 25/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:56:00 25/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [05:56:00 25/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [05:56:00 25/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
tf: [08:00:00 26/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 75 u1: mg
t0: [08:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 25/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 25/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [08:00:00 25/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 25/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 25/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 25/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 25/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [08:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [08:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 25/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 25/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [08:00:00 25/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 25/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [08:00:00 25/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 25/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 25/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 25/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 25/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 25/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 25/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 25/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [08:00:00 25/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 25/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 25/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [08:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [08:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 25/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 25/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 25/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 25/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 25/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 25/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 25/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 25/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 25/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 25/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 25/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 25/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 25/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [08:00:00 25/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [08:00:00 25/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 25/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 25/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 25/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 25/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 25/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 25/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 25/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 25/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 25/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 25/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 25/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 25/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [08:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [08:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 120 vu: ml t0: [08:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [08:00:00 25/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 1300 vu: ml
t0: [08:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [08:00:00 25/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [08:00:00 25/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [08:00:00 25/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 25/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 25/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 25/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 25/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [08:00:00 25/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [08:00:00 25/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 25/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.1 u1: Deg. C st: NotStopd t0: [08:00:00 25/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:00:00 25/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 25/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 25/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 25/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [08:00:00 25/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 25/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 25/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [08:00:00 25/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [08:00:00 25/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:00:00 25/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [08:00:00 25/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 25/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 25/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 499 u1: ml/B st: NotStopd t0: [08:00:00 25/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 25/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 25/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 25/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [09:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 84 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [09:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [09:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [09:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 25/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [09:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [09:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [09:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml
t0: [09:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [09:30:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [09:30:00 25/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 500 vu: ml t0: [09:30:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0.5 vu: ml t0: [09:30:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml t0: [09:30:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.25 vu: ml t0: [09:30:00 25/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 280 vu: ml
tf: [15:00:00 27/09/2016] pt: Unit Dose rt: IV fr: QD fs: 10 dn: 1 m1: Furosemide v1: 100 u1: mg
t0: [10:48:00 25/09/2016] id: Blood Products Hematology el: 0 cu: MICU cg: 1663 v1: Y rs: Final st: NotStopd
t0: [10:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [10:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [10:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [10:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 25/09/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [10:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [10:00:00 25/09/2016] id: Significant Events el: 0 cu: MICU cg: RN st: NotStopd t0: [10:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [11:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [11:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [11:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [11:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [11:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1.5 vu: ml t0: [11:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 90 vu: ml t0: [11:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.75 vu: ml t0: [11:00:00 25/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [10:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [11:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
tf: [15:00:00 27/09/2016] pt: IV Piggyback rt: IV fr: QD fs: 4 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml
t0: [12:00:00 25/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [12:00:00 25/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [12:00:00 25/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 25/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 25/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 25/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:00:00 25/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [12:00:00 25/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [12:00:00 25/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 25/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 25/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [12:00:00 25/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 25/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 25/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [12:00:00 25/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.1 u1: L/min st: NotStopd t0: [12:00:00 25/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 25/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 25/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [12:00:00 25/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [12:00:00 25/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [12:00:00 25/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [12:00:00 25/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 25/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [12:00:00 25/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [12:00:00 25/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 25/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 512 u1: ml/B st: NotStopd t0: [12:00:00 25/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 25/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 25/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 25/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [12:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [12:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [12:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [12:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 25/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 103 rs: Manual st: NotStopd
t0: [12:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [12:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [12:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [12:00:00 25/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [12:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
id: Packed RBC's el: 1 cu: MICU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [05:41:00 25/09/2016] id: Gentamycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd
t0: [12:30:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:30:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:30:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:30:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:30:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [12:30:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:30:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [12:30:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [12:30:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:30:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:30:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:30:00 25/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:30:00 25/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [12:30:00 25/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [12:30:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [12:30:00 25/09/2016] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml nb: 1 t0: [12:30:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0.5 vu: ml t0: [12:30:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml t0: [12:30:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.25 vu: ml
t0: [12:30:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:30:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [13:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [13:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [13:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [13:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 25/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [13:00:00 25/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [13:00:00 25/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.5 u1: Deg. F st: NotStopd t0: [13:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [14:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [14:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [14:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [14:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 25/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 25/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [14:00:00 25/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [14:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [14:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1.5 vu: ml t0: [14:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 90 vu: ml t0: [14:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.75 vu: ml t0: [14:00:00 25/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 280 vu: ml
t0: [14:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [14:00:00 25/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [14:00:00 25/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 500 vu: ml
tf: [00:00:00 28/09/2016] pt: IV Piggyback rt: IV fr: Q18H dn: 0 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [15:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [15:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [15:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [15:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 25/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 25/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [15:00:00 25/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [15:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 25/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [15:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [15:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [15:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml
t0: [15:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [12:00:00 25/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [16:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 25/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 25/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [16:00:00 25/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 25/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 25/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 25/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 25/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [16:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [16:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 25/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 25/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [16:00:00 25/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 25/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [16:00:00 25/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 25/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 25/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 25/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 25/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 25/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 25/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 25/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 25/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [16:00:00 25/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 25/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 25/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [16:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 25/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 25/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 25/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 25/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 25/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 25/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 25/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 25/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 25/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 25/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 25/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [16:00:00 25/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [16:00:00 25/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 25/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 25/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 25/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 25/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [16:00:00 25/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 25/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [16:00:00 25/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 25/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [16:00:00 25/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 25/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [16:00:00 25/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 25/09/2016] tf: [08:00:00 09/10/2016] dt: 19680 id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 375 vu: ml t0: [16:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [16:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [16:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [16:00:00 25/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [16:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 25/09/2016] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 375 ap: none
t0: [16:00:00 25/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [16:00:00 25/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [16:00:00 25/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 25/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 25/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 25/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 25/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [16:00:00 25/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 25/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 25/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:00:00 25/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 25/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 25/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [16:00:00 25/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14.8 u1: L/min st: NotStopd t0: [16:00:00 25/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 25/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 25/09/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 25/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [16:00:00 25/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [16:00:00 25/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 25/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 25/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [16:00:00 25/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 435 u1: ml/B st: NotStopd t0: [16:00:00 25/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 25/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 25/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd t0: [16:15:00 25/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:15:00 25/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:15:00 25/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [16:15:00 25/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:15:00 25/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:15:00 25/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [16:15:00 25/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.8 u1: L/min st: NotStopd t0: [16:15:00 25/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:15:00 25/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:15:00 25/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:15:00 25/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:15:00 25/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [16:15:00 25/09/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 370 u1: ml/B st: NotStopd t0: [16:15:00 25/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:15:00 25/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:15:00 25/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [17:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [17:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [17:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 37 u1: BPM st: NotStopd t0: [17:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [17:38:00 25/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [17:38:00 25/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [17:38:00 25/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [17:38:00 25/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [17:38:00 25/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 94 u1: mmHg rs: Final st: NotStopd t0: [17:38:00 25/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd
t0: [18:00:00 25/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [18:00:00 25/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [18:00:00 25/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [18:00:00 25/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [18:00:00 25/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [18:00:00 25/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [18:00:00 25/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [18:00:00 25/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [18:00:00 25/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [18:00:00 25/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [18:00:00 25/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [18:00:00 25/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [18:00:00 25/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [18:00:00 25/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.8 u1: L/min st: NotStopd t0: [18:00:00 25/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [18:00:00 25/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [18:00:00 25/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [18:00:00 25/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [18:00:00 25/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [18:00:00 25/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [18:00:00 25/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [18:00:00 25/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [18:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [18:00:00 25/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [18:00:00 25/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 25/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 533 u1: ml/B st: NotStopd t0: [18:00:00 25/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [18:00:00 25/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [18:00:00 25/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [18:00:00 25/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [18:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [18:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 87 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [18:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [18:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 25/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 146 rs: Manual st: NotStopd
t0: [17:00:00 25/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [18:00:00 25/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [18:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 25/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 500 vu: ml t0: [18:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [18:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 120 vu: ml t0: [18:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [18:00:00 25/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 225 vu: ml
t0: [18:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [20:00:00 25/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [20:00:00 25/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [20:00:00 25/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 25/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 25/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 25/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 25/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [20:00:00 25/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:00:00 25/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 25/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 25/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 25/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 25/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 25/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [20:00:00 25/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14.4 u1: L/min st: NotStopd t0: [20:00:00 25/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 25/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 25/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [20:00:00 25/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [20:00:00 25/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 25/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 25/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 25/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:00:00 25/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 25/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [20:00:00 25/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [20:00:00 25/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 25/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 25/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 25/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [19:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [19:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [19:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [19:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [19:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 25/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 25/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 25/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 25/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 25/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 25/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [20:00:00 25/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 25/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 25/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 25/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 25/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 25/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [20:00:00 25/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [20:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 25/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 25/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [20:00:00 25/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 25/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 25/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [20:00:00 25/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 25/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 25/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 25/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 25/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 25/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 25/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 25/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 25/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 25/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 25/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 25/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 25/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 25/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 25/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 25/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 25/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 25/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:00:00 25/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [20:00:00 25/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 25/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 25/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 25/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 25/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 25/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 25/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 25/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 25/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [20:00:00 25/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 25/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 25/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 25/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 25/09/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [20:00:00 25/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [20:00:00 25/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 25/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [20:00:00 25/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 25/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 25/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 25/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 25/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 25/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [20:00:00 25/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 25/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [21:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [21:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [21:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [21:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [19:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [19:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [20:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [20:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [20:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [21:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [21:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [21:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml
t0: [19:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [20:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [21:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
tf: [02:00:00 26/09/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 6, 14, 22 dn: 3 m1: Gentamicin v1: 100 u1: mg m2: Isotonic Sodium Chloride v2: 50 u2: ml
t0: [21:00:00 25/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [21:00:00 25/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [22:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [22:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [22:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [22:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 25/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [22:00:00 25/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [22:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 25/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 25/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 25/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 25/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 25/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 25/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [23:00:00 25/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 25/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 96 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [23:00:00 25/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [23:00:00 25/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 25/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [23:00:00 25/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 89 u1: % st: NotStopd t0: [23:00:00 25/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [23:00:00 25/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [23:00:00 25/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 25/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml t0: [22:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 25/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 500 vu: ml t0: [22:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [22:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [22:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [23:00:00 25/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 25/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [23:00:00 25/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [23:00:00 25/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml
t0: [22:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [23:00:00 25/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 25/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 25/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 2120 ap: none
t0: [23:31:00 25/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [23:31:00 25/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 164 rs: Final st: NotStopd t0: [23:31:00 25/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [23:31:00 25/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [23:31:00 25/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [23:31:00 25/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 69 u1: mmHg rs: Final st: NotStopd t0: [23:31:00 25/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [23:31:00 25/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 164 rs: Final st: NotStopd
t0: [00:00:00 26/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [00:00:00 26/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [00:00:00 26/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 26/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 26/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 26/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 26/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [00:00:00 26/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [00:00:00 26/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 26/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 26/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 26/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 26/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 26/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [00:00:00 26/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14.4 u1: L/min st: NotStopd t0: [00:00:00 26/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 26/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 26/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [00:00:00 26/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [00:00:00 26/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:00:00 26/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [00:00:00 26/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 26/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 92 u1: % st: NotStopd t0: [00:00:00 26/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [00:00:00 26/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 26/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 26/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 26/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 25/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 25/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [20:00:00 25/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [00:00:00 26/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 26/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 26/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 26/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 26/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 26/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [00:00:00 26/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 26/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 26/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 26/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 26/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [00:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [00:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 26/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 26/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 26/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [00:00:00 26/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 26/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 26/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [00:00:00 26/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 26/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 26/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 26/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 26/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 26/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 26/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 26/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 26/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 26/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [00:00:00 26/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 26/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 91 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [00:00:00 26/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 41.6667 u1: mmHg st: NotStopd t0: [00:00:00 26/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 26/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 77 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [00:00:00 26/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 44 u1: mmHg st: NotStopd t0: [00:00:00 26/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 26/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 26/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 26/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 26/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 26/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [00:00:00 26/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 26/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 26/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 26/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 26/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [00:00:00 26/09/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [00:00:00 26/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [00:00:00 26/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 26/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 26/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [00:00:00 26/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [00:00:00 26/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 26/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 26/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 26/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 26/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 26/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 500 vu: ml t0: [00:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 26/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [00:00:00 26/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [00:00:00 26/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [00:00:00 26/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [00:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [01:17:00 26/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [01:17:00 26/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [01:17:00 26/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [01:17:00 26/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [01:17:00 26/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 81 u1: mmHg rs: Final st: NotStopd t0: [01:17:00 26/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.38 rs: Final st: NotStopd
t0: [00:00:00 26/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 26/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 26/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 26/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 26/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 26/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 26/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 26/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [00:00:00 26/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [01:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 26/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [01:00:00 26/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 43 u1: mmHg st: NotStopd t0: [01:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 86 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [01:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [01:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [01:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [01:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [02:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 93 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [02:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [02:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [02:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 26/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [02:00:00 26/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [02:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 26/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [01:00:00 26/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [01:00:00 26/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [02:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 26/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [02:00:00 26/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [02:00:00 26/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [02:00:00 26/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [01:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [02:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 26/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 26/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 26/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 1757.06 ap: none t0: [23:00:00 26/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 2997.06 ap: none t0: [23:00:00 26/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN cv: 1090 ap: none t0: [23:00:00 26/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 2320 ap: none t0: [23:00:00 26/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN cv: 677.056 ap: none t0: [23:00:00 26/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 2320 ap: none t0: [23:00:00 26/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN cv: -1241.15 ap: carryForward
t0: [21:22:00 25/09/2016] id: Gentamycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd
t0: [00:00:00 26/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [03:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [03:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [03:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [03:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [03:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 92 u1: % st: NotStopd t0: [03:00:00 26/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [03:00:00 26/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [03:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 26/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 26/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 26/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 26/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 26/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 26/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 26/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [04:00:00 26/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 26/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 26/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 26/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 26/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 26/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [04:00:00 26/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [04:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 26/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 26/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 26/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [04:00:00 26/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 26/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 26/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [04:00:00 26/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 26/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 26/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 26/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 26/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 26/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 26/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 26/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 26/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 26/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 26/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 26/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 26/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [04:00:00 26/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 26/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 26/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 26/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 26/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [04:00:00 26/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [04:00:00 26/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 26/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 26/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 26/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 26/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 26/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 26/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 26/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 26/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [04:00:00 26/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 26/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 26/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 26/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 26/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 26/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 26/09/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [04:00:00 26/09/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [04:00:00 26/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 26/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 26/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [04:00:00 26/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [04:00:00 26/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [04:00:00 26/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 26/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 26/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 26/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 26/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 26/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [04:00:00 26/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 26/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [03:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 26/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [03:00:00 26/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [03:00:00 26/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [04:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 26/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [04:00:00 26/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [04:00:00 26/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [04:00:00 26/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [03:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [04:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
t0: [04:00:00 26/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [04:00:00 26/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [04:00:00 26/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 26/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 26/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 26/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 26/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:00:00 26/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 26/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 26/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 26/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 26/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 26/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [04:00:00 26/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 15.3 u1: L/min st: NotStopd t0: [04:00:00 26/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 26/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 26/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [04:00:00 26/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [04:00:00 26/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [04:00:00 26/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 31 u1: BPM st: NotStopd t0: [04:00:00 26/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 26/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 26/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 26/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 26/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 26/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 26/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 26/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: Exempt per MD st: NotStopd
t0: [05:35:00 26/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [05:35:00 26/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [05:35:00 26/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [05:35:00 26/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [05:35:00 26/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 96 u1: mmHg rs: Final st: NotStopd t0: [05:35:00 26/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [05:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [05:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [05:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [05:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [06:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [06:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [06:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 26/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [06:00:00 26/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [06:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 26/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [05:00:00 26/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [05:00:00 26/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [06:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 26/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [06:00:00 26/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [06:00:00 26/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [06:00:00 26/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [05:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip t0: [06:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 40 su: ml rt: IV Drip
tf: [12:00:00 27/09/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 6, 18 dn: 2 m1: Gentamicin v1: 100 u1: mg m2: Isotonic Sodium Chloride v2: 50 u2: ml
t0: [05:47:00 26/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 25.7 rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 25.7 rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 27.8 u1: % rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.5 u1: gm/dl rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 396 rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.5 u1: /mic l rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 25.7 rs: Final st: NotStopd
t0: [06:30:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [06:30:00 26/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0.5 vu: ml t0: [06:30:00 26/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml t0: [06:30:00 26/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.25 vu: ml t0: [06:30:00 26/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [05:47:00 26/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 72 rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 169 rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 72 rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 169 rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [05:47:00 26/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [08:46:00 26/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [08:46:00 26/09/2016] id: Cuff Pressure-Airway el: 0 cu: MICU cg: RRT u1: cmH2O st: NotStopd t0: [08:46:00 26/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [08:46:00 26/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:46:00 26/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:46:00 26/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:46:00 26/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:46:00 26/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [08:46:00 26/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [08:46:00 26/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:46:00 26/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:46:00 26/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:46:00 26/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 10 st: NotStopd t0: [08:46:00 26/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [08:46:00 26/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [08:46:00 26/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14.4 u1: L/min st: NotStopd t0: [08:46:00 26/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:46:00 26/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:46:00 26/09/2016] id: Peak Flow el: 0 cu: MICU cg: RRT u1: L/m st: NotStopd t0: [08:46:00 26/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [08:46:00 26/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [08:46:00 26/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:46:00 26/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [08:46:00 26/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:46:00 26/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:46:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 94 u1: % st: NotStopd t0: [08:46:00 26/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [08:46:00 26/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:46:00 26/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:46:00 26/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:46:00 26/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd
t0: [08:46:00 26/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RRT v1: Coarse st: NotStopd t0: [08:46:00 26/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RRT v1: Coarse st: NotStopd t0: [08:46:00 26/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RRT v1: Diminished st: NotStopd t0: [08:46:00 26/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RRT v1: Coarse st: NotStopd t0: [08:46:00 26/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RRT v1: Regular st: NotStopd
t0: [08:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 26/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 26/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 26/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [08:00:00 26/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 26/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 26/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 26/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 26/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 122 u1: BPM st: NotStopd t0: [08:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 26/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 26/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [08:00:00 26/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 26/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 26/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [08:00:00 26/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 26/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 26/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 26/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 26/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 26/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 26/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 26/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 26/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 26/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 26/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 26/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [08:00:00 26/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [08:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 26/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [08:00:00 26/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 26/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 26/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [08:00:00 26/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 26/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 26/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.1111 u1: Deg. C st: NotStopd t0: [08:00:00 26/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.4 u1: Deg. F st: NotStopd t0: [08:00:00 26/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 26/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 26/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 26/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 26/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [08:00:00 26/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [08:00:00 26/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [08:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [08:00:00 26/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 90 vu: ml t0: [08:00:00 26/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1.5 vu: ml t0: [08:00:00 26/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 90 vu: ml t0: [08:00:00 26/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.75 vu: ml t0: [08:00:00 26/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 500 vu: ml
t0: [08:00:00 26/09/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Culture/remarks st: NotStopd
tf: [08:00:00 27/09/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [08:46:00 26/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [09:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [09:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [09:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [09:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 26/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [09:00:00 26/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [09:00:00 26/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [09:00:00 26/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [10:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 26/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [10:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 26/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 81 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [10:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [10:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:00:00 26/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 26/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: done
t0: [10:00:00 26/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [10:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 26/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [10:00:00 26/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [10:00:00 26/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [10:00:00 26/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
id: Levophed-k el: 100 cu: MICU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip
t0: [10:05:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:05:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:05:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:05:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [10:05:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 75 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [10:05:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 41 u1: mmHg st: NotStopd t0: [10:05:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:05:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [10:05:00 26/09/2016] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd t0: [10:05:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [10:05:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:05:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 500 vu: ml t0: [10:05:00 26/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml st: Stopped t0: [10:05:00 26/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vu: ml st: Stopped t0: [10:05:00 26/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vu: ml st: Stopped
tf: [09:00:00 27/09/2016] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 10 dn: 1 m1: Alteplase (Catheter Clearance) v1: 1 u1: mg
id: D5W el: 1 cu: MICU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [10:10:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:10:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:10:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:10:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [10:10:00 26/09/2016] id: NBP el: 0 cu: MICU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [10:10:00 26/09/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 0 u1: mmHg st: NotStopd t0: [10:10:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 70 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [10:10:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [10:10:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:10:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [10:10:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:10:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:15:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:15:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:15:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:15:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [10:15:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 72 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [10:15:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [10:15:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:15:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [10:15:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [10:15:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:15:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0.833333 vu: ml
t0: [10:15:00 26/09/2016] tf: [15:58:00 24/10/2016] dt: 40663 id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.17 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 26/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 26/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 26/09/2016] id: Back Care el: 0 cu: MICU cg: RN st: NotStopd t0: [10:20:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:20:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:20:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:20:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [10:20:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:20:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [10:20:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:20:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [10:20:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:20:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:25:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:25:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:25:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:25:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [10:25:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [10:25:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [10:25:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:25:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [10:25:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:25:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:15:00 26/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 0 vu: ml nb: 1
t0: [10:10:00 26/09/2016] tf: [12:00:00 13/10/2016] dt: 24590 id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:10:00 26/09/2016] tf: [15:58:00 24/10/2016] dt: 40668 id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 du: mghr sv: 40 su: ml rt: IV Drip t0: [10:15:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:15:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 du: mghr sv: 40 su: ml rt: IV Drip t0: [10:20:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.17 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:25:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.028 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:28:00 26/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [10:28:00 26/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [10:28:00 26/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [10:28:00 26/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [10:28:00 26/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [10:28:00 26/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd
tf: [14:00:00 26/09/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Vasopressin v1: 100 u1: UNIT m2: D5W v2: 250 u2: ml tf: [20:00:00 24/10/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Norepinephrine v1: 4 u1: mg m2: D5W v2: 250 u2: ml
t0: [11:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [11:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [11:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 26/09/2016] id: Procedures el: 0 cu: MICU cg: RN v1: EKG st: NotStopd t0: [11:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 26/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [11:00:00 26/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.1111 u1: Deg. C st: NotStopd t0: [11:00:00 26/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.4 u1: Deg. F st: NotStopd t0: [11:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 3.75 vu: ml t0: [11:00:00 26/09/2016] tf: [13:00:00 27/09/2016] dt: 1560 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 28.9775 vu: ml t0: [11:00:00 26/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vu: ml st: Restart t0: [11:00:00 26/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [11:00:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.028 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 26/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: Flat in Bed st: NotStopd t0: [12:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 26/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [12:00:00 26/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [12:00:00 26/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [12:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 26/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 26/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [12:00:00 26/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 26/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 26/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 26/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 26/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 26/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 96 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [12:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [12:00:00 26/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 26/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 26/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [12:00:00 26/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 26/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 26/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [12:00:00 26/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 26/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [12:00:00 26/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 26/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 26/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.2222 u1: Deg. C st: NotStopd t0: [12:00:00 26/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.6 u1: Deg. F st: NotStopd t0: [12:00:00 26/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [12:00:00 26/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 26/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 26/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 26/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [12:00:00 26/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 26/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [12:00:00 26/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 26/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 8 u1: number st: NotStopd t0: [12:00:00 26/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 26/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 18.165 vu: ml t0: [12:00:00 26/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vu: ml st: Restart t0: [12:00:00 26/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [12:00:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.028 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 26/09/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: On st: NotStopd
t0: [12:00:00 26/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 151 rs: Manual st: NotStopd
t0: [12:00:00 26/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml
t0: [23:00:00 26/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 150 ap: none
t0: [12:20:00 26/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [12:20:00 26/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [12:20:00 26/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:20:00 26/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:20:00 26/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:20:00 26/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:20:00 26/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [12:20:00 26/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [12:20:00 26/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:20:00 26/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.8 u1: Deg. C st: NotStopd t0: [12:20:00 26/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [12:20:00 26/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [12:20:00 26/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:20:00 26/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [12:20:00 26/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14.5 u1: L/min st: NotStopd t0: [12:20:00 26/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:20:00 26/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:20:00 26/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [12:20:00 26/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [12:20:00 26/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [12:20:00 26/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [12:20:00 26/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:20:00 26/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:20:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [12:20:00 26/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [12:20:00 26/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [12:20:00 26/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:20:00 26/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:20:00 26/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:20:00 26/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [13:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [13:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [13:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [13:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [13:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 26/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [13:00:00 26/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39 u1: Deg. C st: NotStopd t0: [13:00:00 26/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.2 u1: Deg. F st: NotStopd t0: [13:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 26/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 18.165 vu: ml t0: [13:00:00 26/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [13:00:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.028 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [09:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [10:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [10:05:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip st: Stopped t0: [10:05:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip st: Stopped t0: [11:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [12:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [14:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 26/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [14:00:00 26/09/2016] id: ETT Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [14:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [14:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [14:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 26/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 18.165 vu: ml t0: [14:00:00 26/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [14:00:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0231214 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [14:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [15:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [15:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 97 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [15:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [15:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [15:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 26/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 26/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [15:00:00 26/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [15:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 26/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 15 vu: ml t0: [15:00:00 26/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [15:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0231214 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [15:30:00 26/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [15:30:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:30:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 26/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:30:00 26/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [15:30:00 26/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [15:30:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:30:00 26/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [15:30:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [15:30:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [15:30:00 26/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [15:30:00 26/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [15:30:00 26/09/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [15:30:00 26/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [15:30:00 26/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [15:30:00 26/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:30:00 26/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [15:30:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [15:30:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 26/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [15:30:00 26/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:30:00 26/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [15:30:00 26/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:30:00 26/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [15:30:00 26/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [15:30:00 26/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:30:00 26/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [15:30:00 26/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [15:30:00 26/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [15:30:00 26/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [15:30:00 26/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [15:30:00 26/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [15:30:00 26/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [15:30:00 26/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:30:00 26/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:30:00 26/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:30:00 26/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [15:30:00 26/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [15:30:00 26/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [15:30:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [15:30:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [15:30:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:30:00 26/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [15:30:00 26/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [15:30:00 26/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:30:00 26/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:30:00 26/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [15:30:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:30:00 26/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:30:00 26/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:30:00 26/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [15:30:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:30:00 26/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [15:30:00 26/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [15:30:00 26/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:30:00 26/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:30:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 26/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:30:00 26/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [15:30:00 26/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [15:30:00 26/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [15:30:00 26/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [15:30:00 26/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [15:30:00 26/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [15:30:00 26/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 8 u1: number st: NotStopd t0: [15:30:00 26/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 26/09/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: On st: NotStopd t0: [16:00:00 26/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 26/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 26/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 26/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 26/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [16:00:00 26/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd
t0: [15:00:00 26/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 255 vu: ml st: Stopped t0: [15:30:00 26/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [15:30:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [15:30:00 26/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 7.5 vu: ml
t0: [15:30:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:30:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0231214 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [16:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [16:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [16:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 26/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 26/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.8333 u1: Deg. C st: NotStopd t0: [16:00:00 26/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.9 u1: Deg. F st: NotStopd t0: [16:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0231214 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
tf: [14:00:00 26/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 50 u1: mg tf: [15:00:00 27/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 50 u1: mg
t0: [16:30:00 26/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:30:00 26/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:30:00 26/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [16:30:00 26/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:30:00 26/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:30:00 26/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:30:00 26/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [16:30:00 26/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:30:00 26/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [16:30:00 26/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:30:00 26/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [16:00:00 26/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 26/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [17:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [17:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [17:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [17:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [17:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 26/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [17:00:00 26/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3889 u1: Deg. C st: NotStopd t0: [17:00:00 26/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.1 u1: Deg. F st: NotStopd t0: [17:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 26/09/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 100 vu: ml t0: [17:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [17:00:00 26/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 22.5 vu: ml t0: [17:00:00 26/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [17:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0200385 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [16:30:00 26/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 137 rs: Final st: NotStopd t0: [16:30:00 26/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 137 rs: Final st: NotStopd
t0: [17:28:00 26/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [17:30:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:30:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:30:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [17:30:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:30:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [17:30:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:30:00 26/09/2016] id: Procedures el: 0 cu: MICU cg: RN v1: TEE st: NotStopd t0: [17:30:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [17:30:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:30:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:30:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0169557 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [18:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [18:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 26/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [18:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [18:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [18:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 26/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [18:00:00 26/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [18:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 26/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [18:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 26/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 12 vu: ml t0: [18:00:00 26/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [18:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0154143 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [18:45:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:45:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:45:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:45:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [18:45:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:45:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:45:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [18:45:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:45:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [18:45:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:45:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:45:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:45:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0123314 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:45:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [18:00:00 26/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [18:00:00 26/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [18:00:00 26/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [18:00:00 26/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [18:00:00 26/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [18:00:00 26/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [18:00:00 26/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [18:00:00 26/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [18:00:00 26/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [18:00:00 26/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [18:00:00 26/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [18:00:00 26/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [18:00:00 26/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [18:00:00 26/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [18:00:00 26/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.8 u1: L/min st: NotStopd t0: [18:00:00 26/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [18:00:00 26/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [18:00:00 26/09/2016] id: Peak Flow el: 0 cu: MICU cg: RRT u1: L/m st: NotStopd t0: [18:00:00 26/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [18:00:00 26/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [18:00:00 26/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [18:00:00 26/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [18:00:00 26/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [18:00:00 26/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [18:00:00 26/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [18:00:00 26/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 26/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [18:00:00 26/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [18:00:00 26/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [18:00:00 26/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [20:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [20:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [20:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [20:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [20:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 26/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 26/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [20:00:00 26/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [20:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0123314 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [20:00:00 26/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [20:00:00 26/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [20:00:00 26/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 26/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 26/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 26/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 26/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:00:00 26/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 26/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 26/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 26/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [20:00:00 26/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 26/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [20:00:00 26/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14.3 u1: L/min st: NotStopd t0: [20:00:00 26/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 26/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 26/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [20:00:00 26/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [20:00:00 26/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [20:00:00 26/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 26/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 26/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [20:00:00 26/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 26/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 26/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 26/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [11:00:00 26/09/2016] tf: [20:00:00 07/10/2016] dt: 16380 id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml st: Restart t0: [12:00:00 26/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [12:00:00 26/09/2016] tf: [20:00:00 07/10/2016] dt: 16320 id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [14:00:00 26/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [14:00:00 26/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [16:00:00 26/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [16:00:00 26/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [18:00:00 26/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [18:00:00 26/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [20:00:00 26/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 26/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [20:00:00 26/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 17.5 vu: ml t0: [20:00:00 26/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml
t0: [20:00:00 26/09/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: On st: NotStopd t0: [20:00:00 26/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 26/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 26/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [20:00:00 26/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 26/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 26/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 26/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 26/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 26/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 26/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 26/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [20:00:00 26/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 26/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [20:00:00 26/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 26/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 26/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [20:00:00 26/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 26/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 26/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 26/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 26/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 26/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 26/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 26/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 26/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 26/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 26/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 26/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 26/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 26/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 26/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 26/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 26/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 26/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 26/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 26/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [20:00:00 26/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 26/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 26/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 26/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 26/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [20:00:00 26/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 26/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 26/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 26/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 26/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 26/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 26/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 26/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 26/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 26/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [20:00:00 26/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 26/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 9 u1: number st: NotStopd t0: [20:00:00 26/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [21:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [21:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 91 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [21:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [21:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:30:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:30:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:30:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [21:30:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:30:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [21:30:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:30:00 26/09/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [21:30:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:30:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:30:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0123314 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [21:30:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:30:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0123314 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:30:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
tf: [08:00:00 27/09/2016] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Glargine v1: 60 u1: UNIT
t0: [22:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [22:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [22:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 26/09/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [22:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [22:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 26/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 26/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 26/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 26/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 26/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 26/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [23:00:00 26/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 26/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 26/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [23:00:00 26/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 26/09/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [23:00:00 26/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 26/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 26/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0123314 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [23:00:00 26/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 26/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0123314 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 26/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [00:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 27/09/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: On st: NotStopd t0: [00:00:00 27/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 27/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 27/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [00:00:00 27/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 27/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 27/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 27/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 27/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 27/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [00:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 27/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 27/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 27/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [00:00:00 27/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 27/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 27/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 27/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 27/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 27/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 27/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 27/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 27/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 27/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 27/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 27/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [00:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [00:00:00 27/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 27/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [00:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 27/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 27/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 27/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 27/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 27/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 27/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [00:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [00:00:00 27/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 27/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 27/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 27/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 27/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 27/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 27/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 27/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [00:00:00 27/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [00:00:00 27/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [00:00:00 27/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [00:00:00 27/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 27/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 27/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 27/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 27/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 146 rs: Manual st: NotStopd t0: [00:00:00 27/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [00:00:00 27/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 27/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [00:00:00 27/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [00:00:00 27/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [00:00:00 27/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 27/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 9 u1: number st: NotStopd t0: [00:00:00 27/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [23:00:00 26/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [00:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 8 vu: ml t0: [00:00:00 27/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 32 vu: ml t0: [00:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 4 vu: ml t0: [00:00:00 27/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 500 vu: ml
t0: [00:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 27/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0123314 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [00:00:00 27/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml
t0: [00:00:00 27/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [00:00:00 27/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [00:00:00 27/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 27/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 27/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 27/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 27/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [00:00:00 27/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 27/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 27/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 27/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [00:00:00 27/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 27/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [00:00:00 27/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.8 u1: L/min st: NotStopd t0: [00:00:00 27/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 27/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 27/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [00:00:00 27/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [00:00:00 27/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 27/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 27/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 27/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 27/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [00:00:00 27/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 27/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 27/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 27/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
tf: [00:00:00 28/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 1 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
t0: [01:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [01:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [01:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [01:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [01:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 27/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [01:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [01:00:00 27/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 8 vu: ml t0: [01:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml
t0: [01:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 27/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0123314 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [02:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [02:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [02:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 27/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [02:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 27/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 8 vu: ml t0: [02:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [02:00:00 27/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [02:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 27/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0123314 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 27/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 cv: 0 ap: none t0: [23:00:00 27/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: 293 cv: 293 ap: none t0: [23:00:00 27/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 208 cv: 2176.72 ap: none t0: [23:00:00 27/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 293 cv: 3111.72 ap: none t0: [23:00:00 27/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 cv: 4520 ap: none t0: [23:00:00 27/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: 293 cv: -1418.28 ap: none t0: [23:00:00 27/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 cv: 4530 ap: none t0: [23:00:00 27/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: 293 cv: -2659.43 ap: carryForward
t0: [16:30:00 26/09/2016] id: Gentamycin/Trough Drug Level el: 0 cu: MICU cg: 1663 v1: 3.1 rs: Final st: NotStopd
t0: [04:00:00 27/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [04:00:00 27/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [04:00:00 27/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 27/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 27/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 27/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 27/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:00:00 27/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 27/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 27/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 27/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 27/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 27/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:00:00 27/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.6 u1: L/min st: NotStopd t0: [04:00:00 27/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 27/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 27/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [04:00:00 27/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [04:00:00 27/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 27/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [04:00:00 27/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 27/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 27/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 27/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 27/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [04:00:00 27/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 27/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 27/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 27/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 27/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 27/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [04:00:00 27/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [05:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [05:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [05:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [05:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [05:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 27/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [03:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [03:00:00 27/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 8 vu: ml t0: [03:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [04:00:00 27/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [04:00:00 27/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 8 vu: ml t0: [04:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [05:00:00 27/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [05:00:00 27/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 8 vu: ml t0: [05:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [05:00:00 27/09/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 10 vu: ml t0: [05:00:00 27/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [04:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 27/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0123314 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [05:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 27/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0123314 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 27/09/2016] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 10 ap: none
t0: [05:15:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:15:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:15:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:15:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [05:15:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [05:15:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [05:15:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:15:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:15:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:15:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:15:00 27/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.009 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:15:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [05:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd
t0: [05:26:00 27/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [05:26:00 27/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [05:26:00 27/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [05:26:00 27/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [05:26:00 27/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 97 u1: mmHg rs: Final st: NotStopd t0: [05:26:00 27/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [06:00:00 27/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 124 rs: Manual st: NotStopd
t0: [05:45:00 27/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [05:45:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 3.75 vu: ml t0: [05:45:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1.5 vu: ml t0: [05:45:00 27/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 4.91937 vu: ml t0: [05:45:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.75 vu: ml
t0: [05:15:00 27/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 20.4 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 20.4 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 26.7 u1: % rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.2 u1: gm/dl rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 397 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.35 u1: /mic l rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 20.4 rs: Final st: NotStopd
t0: [05:15:00 27/09/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 11.7 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 2.8 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 81.5 rs: Final st: NotStopd
t0: [05:15:00 27/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 63 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 107 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 136 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.6 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 63 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 107 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 136 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.6 rs: Final st: NotStopd t0: [05:15:00 27/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [07:00:00 27/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [07:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 27/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 27/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [07:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [07:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [07:00:00 27/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [07:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [07:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 27/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [07:00:00 27/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [07:00:00 27/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [07:00:00 27/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5556 u1: Deg. C st: NotStopd t0: [07:00:00 27/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.4 u1: Deg. F st: NotStopd t0: [07:00:00 27/09/2016] id: BSA - English el: 0 cu: MICU cg: RN v1: 1.90488 u1: m2 st: NotStopd t0: [07:00:00 27/09/2016] id: BSA - Metric el: 0 cu: MICU cg: RN v1: 2.20337 u1: m2 st: NotStopd t0: [07:00:00 27/09/2016] id: Daily Weight el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [08:00:00 27/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 27/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 27/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 27/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [08:00:00 27/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 27/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 27/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 27/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 27/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 27/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 27/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [08:00:00 27/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 27/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [08:00:00 27/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 27/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 27/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 27/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 27/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 27/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 27/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 27/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 27/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 27/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 27/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 27/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 27/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 27/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 27/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 27/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 27/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 27/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 27/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 27/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 27/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 27/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 27/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 27/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 27/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 27/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 27/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 27/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 27/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 27/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 27/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [07:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 6.25 vu: ml t0: [07:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [07:00:00 27/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 7.29844 vu: ml t0: [07:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1.25 vu: ml
t0: [07:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 27/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0123314 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [08:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [08:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [08:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [08:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 27/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [08:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [08:00:00 27/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 8 vu: ml t0: [08:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [08:00:00 27/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 1550 vu: ml
t0: [08:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 27/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.00924855 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [08:50:00 27/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RT v1: 31.25 u1: ml/cmH st: NotStopd t0: [08:50:00 27/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RT v1: PEEP >10 st: NotStopd t0: [08:50:00 27/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RT v1: 18 t0: [08:50:00 27/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RT v1: 23cm v2: Lip st: NotStopd t0: [08:50:00 27/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RT v1: 0.5 u1: torr st: NotStopd t0: [08:50:00 27/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RT v1: 45 u1: cmH2O st: NotStopd t0: [08:50:00 27/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RT v1: 20 u1: BPM st: NotStopd t0: [08:50:00 27/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RT v1: 1:5 st: NotStopd t0: [08:50:00 27/09/2016] id: Airway Size el: 0 cu: MICU cg: RT v1: 8.5 mm st: NotStopd t0: [08:50:00 27/09/2016] id: Airway Type el: 0 cu: MICU cg: RT v1: Endotracheal st: NotStopd t0: [08:50:00 27/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RT v1: 35 u1: Deg. C st: NotStopd t0: [08:50:00 27/09/2016] id: Intubation Date el: 0 cu: MICU cg: RT v1: 7 v2: 23 st: NotStopd t0: [08:50:00 27/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RT v1: 6 st: NotStopd t0: [08:50:00 27/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RT v1: 6 v2: Combivent st: NotStopd t0: [08:50:00 27/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RT v1: 16 u1: cmH2O st: NotStopd t0: [08:50:00 27/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RT v1: 13.5 u1: L/min st: NotStopd t0: [08:50:00 27/09/2016] id: PEEP Set el: 0 cu: MICU cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [08:50:00 27/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RT v1: 20 st: NotStopd t0: [08:50:00 27/09/2016] id: Peak Flow el: 0 cu: MICU cg: RT u1: L/m st: NotStopd t0: [08:50:00 27/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RT v1: 26 u1: cmH2O st: NotStopd t0: [08:50:00 27/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RT v1: 22 u1: cmH2O st: NotStopd t0: [08:50:00 27/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RT v1: 18 u1: BPM st: NotStopd t0: [08:50:00 27/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RT v1: 28 u1: BPM st: NotStopd t0: [08:50:00 27/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RT v1: 10 u1: BPM st: NotStopd t0: [08:50:00 27/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [08:50:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RT v1: 99 u1: % st: NotStopd t0: [08:50:00 27/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RT v1: 515 u1: ml/B st: NotStopd t0: [08:50:00 27/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RT v1: 500 u1: ml/B st: NotStopd t0: [08:50:00 27/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RT v1: Assist Control st: NotStopd t0: [08:50:00 27/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RT v1: Drager st: NotStopd t0: [08:50:00 27/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RT v1: RAMP st: NotStopd
tf: [11:00:00 28/09/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [08:00:00 27/09/2016] id: ETT Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [09:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [09:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 27/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [09:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [09:00:00 27/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 27/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [09:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 27/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [09:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [09:00:00 27/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 6 vu: ml t0: [09:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [09:00:00 27/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 340 vu: ml
t0: [09:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 27/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.00770713 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
tf: [10:00:00 29/09/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 10, 18, 2 dn: 3 m1: Ceftazidime v1: 2 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
t0: [10:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [10:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 91 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [10:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 27/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [10:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 27/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [10:00:00 27/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [10:00:00 27/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [10:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [10:00:00 27/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 5 vu: ml t0: [10:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [10:00:00 27/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [10:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 27/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.00462428 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [10:00:00 27/09/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: On st: NotStopd t0: [10:00:00 27/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 27/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 27/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 27/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 27/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 27/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 27/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 27/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [10:00:00 27/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 27/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 27/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 27/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 27/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [10:00:00 27/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 27/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 27/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: done t0: [10:30:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:30:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:30:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:30:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [10:30:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [10:30:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [10:30:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:30:00 27/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [10:30:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:30:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:30:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:30:00 27/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0061657 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [10:48:00 27/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RT v1: 0.4 u1: torr st: NotStopd
t0: [11:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [11:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [11:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [11:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 27/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [11:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [11:00:00 27/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 3.5 vu: ml t0: [11:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [11:00:00 27/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 210 vu: ml
t0: [11:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 27/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.0061657 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [12:00:00 27/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vu: ml nb: 1
t0: [12:00:00 27/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 27/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 27/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 27/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 27/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 27/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [12:00:00 27/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 27/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 27/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 27/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 27/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [12:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [12:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 27/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 27/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [12:00:00 27/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 27/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [12:00:00 27/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 27/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 27/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 27/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 27/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 27/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 27/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 27/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 27/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 27/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 27/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 27/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 27/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [12:00:00 27/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 27/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [12:00:00 27/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 27/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 27/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 27/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 27/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 27/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 27/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 27/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 27/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 27/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 27/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [12:00:00 27/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [12:00:00 27/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 27/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 27/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 27/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 27/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 27/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [12:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [12:00:00 27/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: RN ai: 210 vo: 4 vu: ml t0: [12:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [12:00:00 27/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [12:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 27/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0.00462428 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [12:00:00 27/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 133 rs: Manual st: NotStopd
t0: [12:00:00 27/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml
t0: [12:30:00 27/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RT v1: 31.25 u1: ml/cmH st: NotStopd t0: [12:30:00 27/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RT v1: 18 t0: [12:30:00 27/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RT v1: 23cm v2: Lip st: NotStopd t0: [12:30:00 27/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RT v1: 0.4 u1: torr st: NotStopd t0: [12:30:00 27/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RT v1: 45 u1: cmH2O st: NotStopd t0: [12:30:00 27/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RT v1: 20 u1: BPM st: NotStopd t0: [12:30:00 27/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RT v1: 1:5 st: NotStopd t0: [12:30:00 27/09/2016] id: Airway Size el: 0 cu: MICU cg: RT v1: 8.5 mm st: NotStopd t0: [12:30:00 27/09/2016] id: Airway Type el: 0 cu: MICU cg: RT v1: Endotracheal st: NotStopd t0: [12:30:00 27/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RT v1: 34.7 u1: Deg. C st: NotStopd t0: [12:30:00 27/09/2016] id: Intubation Date el: 0 cu: MICU cg: RT v1: 7 v2: 23 st: NotStopd t0: [12:30:00 27/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RT v1: 6 st: NotStopd t0: [12:30:00 27/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RT v1: 6 v2: Combivent st: NotStopd t0: [12:30:00 27/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RT v1: 15 u1: cmH2O st: NotStopd t0: [12:30:00 27/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RT v1: 11.1 u1: L/min st: NotStopd t0: [12:30:00 27/09/2016] id: PEEP Set el: 0 cu: MICU cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [12:30:00 27/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RT v1: 20 st: NotStopd t0: [12:30:00 27/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RT v1: 26 u1: cmH2O st: NotStopd t0: [12:30:00 27/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RT v1: 23 u1: cmH2O st: NotStopd t0: [12:30:00 27/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RT v1: 13 u1: BPM st: NotStopd t0: [12:30:00 27/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RT v1: 23 u1: BPM st: NotStopd t0: [12:30:00 27/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RT v1: 10 u1: BPM st: NotStopd t0: [12:30:00 27/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [12:30:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RT v1: 96 u1: % st: NotStopd t0: [12:30:00 27/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RT v1: 480 u1: ml/B st: NotStopd t0: [12:30:00 27/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RT v1: 500 u1: ml/B st: NotStopd t0: [12:30:00 27/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RT v1: Assist Control st: NotStopd t0: [12:30:00 27/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RT v1: Drager st: NotStopd t0: [12:30:00 27/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RT v1: RAMP st: NotStopd
t0: [13:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [13:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [13:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 27/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [13:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [13:00:00 27/09/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU cg: -1 ai: 210 vo: 0 st: D/C'd t0: [13:00:00 27/09/2016] tf: [13:00:00 30/09/2016] dt: 4320 id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [13:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [13:00:00 27/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [13:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 27/09/2016] id: Levophed-k el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
tf: [13:00:00 09/10/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 16 dn: 1 m1: Gentamicin v1: 100 u1: mg m2: Isotonic Sodium Chloride v2: 50 u2: ml
t0: [14:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [14:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [14:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 27/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [14:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 93 u1: % st: NotStopd t0: [14:00:00 27/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 27/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [14:00:00 27/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 27/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [14:00:00 27/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [14:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 27/09/2016] tf: [16:00:00 29/09/2016] dt: 3000 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 45 vu: ml t0: [14:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [14:00:00 27/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [14:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [14:00:00 27/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [14:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [15:00:00 27/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 27/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [14:44:00 27/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RT v1: 0.5 u1: torr st: NotStopd
t0: [15:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [15:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [15:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [15:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 27/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [15:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 93 u1: % st: NotStopd t0: [15:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [15:00:00 27/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [15:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [15:00:00 27/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [15:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
tf: [11:00:00 28/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 50 u1: mg
t0: [16:00:00 27/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 27/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 27/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 27/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 27/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 27/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [16:00:00 27/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 27/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 27/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 27/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 27/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [16:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 27/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 27/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 27/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [16:00:00 27/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 27/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 27/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [16:00:00 27/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 27/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 27/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 27/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 27/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 27/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 27/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 27/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 27/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 27/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 27/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 27/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 27/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 27/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:00:00 27/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [16:00:00 27/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 27/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [16:00:00 27/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 27/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 27/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 27/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 27/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:00:00 27/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 27/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 27/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 27/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 27/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 27/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [16:00:00 27/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [16:00:00 27/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 27/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 27/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 27/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 27/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 27/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 27/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 27/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 27/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 27/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 27/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 27/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 27/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [16:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [16:00:00 27/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [16:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [16:00:00 27/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [16:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [12:00:00 27/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 27/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 27/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 27/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 27/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 27/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 27/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 27/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 27/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 27/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [16:00:00 27/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 27/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [16:00:00 27/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 27/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [17:00:00 27/09/2016] id: MDI #2 (Puff/Drug) el: 0 cu: MICU cg: -1 st: D/C'd t0: [17:00:00 27/09/2016] id: Neg Insp Force(>-25) el: 0 cu: MICU cg: -1 st: D/C'd t0: [17:00:00 27/09/2016] id: Vital Cap (>1.0)L el: 0 cu: MICU cg: -1 st: D/C'd
io: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ra: 200 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: [17:00:00 27/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [17:00:00 27/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RT v1: 18 t0: [17:00:00 27/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RT v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 27/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 27/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RT v1: 45 u1: cmH2O st: NotStopd t0: [17:00:00 27/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RT v1: 20 u1: BPM st: NotStopd t0: [17:00:00 27/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RT v1: 1:5 st: NotStopd t0: [17:00:00 27/09/2016] id: Airway Size el: 0 cu: MICU cg: RT v1: 8.5 mm st: NotStopd t0: [17:00:00 27/09/2016] id: Airway Type el: 0 cu: MICU cg: RT v1: Endotracheal st: NotStopd t0: [17:00:00 27/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RT v1: 35 u1: Deg. C st: NotStopd t0: [17:00:00 27/09/2016] id: Intubation Date el: 0 cu: MICU cg: RT v1: 7 v2: 23 st: NotStopd t0: [17:00:00 27/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RT v1: 6 st: NotStopd t0: [17:00:00 27/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RT v1: 6 v2: Combivent st: NotStopd t0: [17:00:00 27/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RT v1: 15 u1: cmH2O st: NotStopd t0: [17:00:00 27/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RT v1: 12.9 u1: L/min st: NotStopd t0: [17:00:00 27/09/2016] id: PEEP Set el: 0 cu: MICU cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 27/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RT v1: 20 st: NotStopd t0: [17:00:00 27/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RT v1: 24 u1: cmH2O st: NotStopd t0: [17:00:00 27/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RT v1: 21 u1: cmH2O st: NotStopd t0: [17:00:00 27/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RT v1: 16 u1: BPM st: NotStopd t0: [17:00:00 27/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RT v1: 26 u1: BPM st: NotStopd t0: [17:00:00 27/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 27/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 27/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RT v1: 506 u1: ml/B st: NotStopd t0: [17:00:00 27/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RT v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 27/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RT v1: Assist Control st: NotStopd t0: [17:00:00 27/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RT v1: Drager st: NotStopd t0: [17:00:00 27/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RT v1: RAMP st: NotStopd
t0: [17:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [17:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [17:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 27/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [17:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 27/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [17:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [17:00:00 27/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [17:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [17:00:00 27/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [17:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [18:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [18:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [18:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [18:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 27/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [18:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [18:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 27/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 27/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [18:00:00 27/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [18:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 27/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 144 rs: Manual st: NotStopd
t0: [18:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [18:00:00 27/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [18:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [18:00:00 27/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [18:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 27/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [18:00:00 27/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [18:00:00 27/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.3 rs: Final st: NotStopd
t0: [19:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 118 u1: BPM st: NotStopd t0: [19:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [19:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 138 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [19:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [19:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 27/09/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.7 u1: kg st: NotStopd t0: [19:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [19:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [19:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 118 u1: BPM st: NotStopd t0: [20:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [20:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 137 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [20:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [20:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 27/09/2016] id: Previous Weight el: 0 cu: MICU cg: -1 v1: 159.7 u1: kg st: NotStopd t0: [20:00:00 27/09/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.7 u1: kg st: NotStopd t0: [20:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [20:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [20:00:00 27/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 27/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38 u1: Deg. C st: NotStopd t0: [20:00:00 27/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 100.4 u1: Deg. F st: NotStopd t0: [20:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [19:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [19:00:00 27/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [19:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [20:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [20:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [20:00:00 27/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [20:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [20:00:00 27/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 280 vu: ml
t0: [19:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 27/09/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [20:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 27/09/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [20:00:00 27/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [20:00:00 27/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [20:00:00 27/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 27/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 27/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 27/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 27/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:00:00 27/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 27/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 27/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 27/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [20:00:00 27/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 27/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [20:00:00 27/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [20:00:00 27/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 27/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 27/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [20:00:00 27/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 27/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:00:00 27/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 27/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 27/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [20:00:00 27/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 27/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 27/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 27/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [19:50:00 27/09/2016] id: Vancomycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 20.6 rs: Final st: NotStopd
t0: [21:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [21:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [21:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [21:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [21:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 27/09/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.7 u1: kg st: NotStopd t0: [21:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [21:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [21:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 110 u1: BPM st: NotStopd t0: [22:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [22:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 121 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [22:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 27/09/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.7 u1: kg st: NotStopd t0: [22:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [22:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [22:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [21:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [21:00:00 27/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [21:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [22:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [22:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [22:00:00 27/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [22:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [22:00:00 27/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 300 vu: ml
t0: [21:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 27/09/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [22:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 27/09/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
tf: [11:00:00 28/09/2016] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Glargine v1: 70 u1: UNIT
t0: [22:00:00 27/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 1000 vu: ml
t0: [00:00:00 28/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [00:00:00 28/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [00:00:00 28/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 28/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 28/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 28/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 28/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [00:00:00 28/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 28/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [00:00:00 28/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 28/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [00:00:00 28/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 28/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [00:00:00 28/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9 u1: L/min st: NotStopd t0: [00:00:00 28/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 28/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 28/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:00:00 28/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [00:00:00 28/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [00:00:00 28/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [00:00:00 28/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 28/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 28/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:00:00 28/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [00:00:00 28/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 28/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 28/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 28/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
id: D5/.45NS el: 1 cu: MICU cg: -1 io: D5/.45NS IV Infusions du: ml rt: Intravenous Push
t0: [23:00:00 27/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 27/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 27/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 27/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 27/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 27/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [23:00:00 27/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [23:00:00 27/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [23:00:00 27/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [23:00:00 27/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 27/09/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.7 u1: kg st: NotStopd t0: [23:00:00 27/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [23:00:00 27/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 27/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 28/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 28/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 28/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 28/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 28/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 28/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [00:00:00 28/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [00:00:00 28/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 28/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 28/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 28/09/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.7 u1: kg st: NotStopd t0: [00:00:00 28/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [00:00:00 28/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 28/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.8333 u1: Deg. C st: NotStopd t0: [00:00:00 28/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 100.1 u1: Deg. F st: NotStopd t0: [00:00:00 28/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 28/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 28/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 28/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 28/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 28/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 28/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [01:00:00 28/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 28/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 28/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 28/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 28/09/2016] id: Previous Weight el: 0 cu: MICU cg: -1 v1: 159.7 u1: kg st: NotStopd t0: [01:00:00 28/09/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.7 u1: kg st: NotStopd t0: [01:00:00 28/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [01:00:00 28/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [01:00:00 28/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 27/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [23:00:00 27/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [23:00:00 27/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [23:00:00 27/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [00:00:00 28/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [00:00:00 28/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [00:00:00 28/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [00:00:00 28/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [00:00:00 28/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 240 vu: ml t0: [01:00:00 28/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [01:00:00 28/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [01:00:00 28/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [01:00:00 28/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml
t0: [23:00:00 27/09/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 27/09/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [00:00:00 28/09/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 28/09/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [01:00:00 28/09/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 28/09/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 27/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 pv: 85 cv: 935 ap: none
t0: [20:00:00 27/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 27/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 27/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 27/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 27/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 27/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd
t0: [23:00:00 27/09/2016] tf: [16:00:00 01/10/2016] dt: 5340 id: D5/.45NS IV Infusions el: 1 cu: MICU cg: -1 ai: 112 vo: 200 vu: ml t0: [00:00:00 28/09/2016] id: D5/.45NS IV Infusions el: 1 cu: MICU cg: -1 ai: 112 vo: 200 vu: ml t0: [01:00:00 28/09/2016] id: D5/.45NS IV Infusions el: 1 cu: MICU cg: -1 ai: 112 vo: 200 vu: ml
t0: [20:00:00 27/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [20:00:00 27/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Pedal v2: 4 mm st: NotStopd t0: [20:00:00 27/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [20:00:00 27/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [20:00:00 27/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 27/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 27/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 27/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 27/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 5 st: NotStopd t0: [20:00:00 27/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 27/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 27/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 5 st: NotStopd t0: [20:00:00 27/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 27/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [20:00:00 27/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 27/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [20:00:00 27/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 27/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [20:00:00 27/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [20:00:00 27/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [20:00:00 27/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 27/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 27/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 27/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 27/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 27/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 27/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 27/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 27/09/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 27/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [20:00:00 27/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 27/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 27/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 27/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [20:00:00 27/09/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 27/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 27/09/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Comp. Immobile st: NotStopd t0: [20:00:00 27/09/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 27/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 27/09/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 11 u1: number st: NotStopd t0: [20:00:00 27/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [00:00:00 28/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [00:00:00 28/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 28/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Pedal v2: 4 mm st: NotStopd t0: [00:00:00 28/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [00:00:00 28/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [00:00:00 28/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 28/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 28/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 28/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 28/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 28/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 5 st: NotStopd t0: [00:00:00 28/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 28/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 28/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 5 st: NotStopd t0: [00:00:00 28/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 28/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [00:00:00 28/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 28/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [00:00:00 28/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 28/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [00:00:00 28/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [00:00:00 28/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [00:00:00 28/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 28/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 28/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 28/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 28/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 28/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 28/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 28/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 28/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 28/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 28/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 28/09/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 28/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [00:00:00 28/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 28/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 28/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 28/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 28/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [00:00:00 28/09/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 28/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 28/09/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Comp. Immobile st: NotStopd t0: [00:00:00 28/09/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [00:00:00 28/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [00:00:00 28/09/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 11 u1: number st: NotStopd t0: [00:00:00 28/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [02:00:00 28/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 28/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 28/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [02:00:00 28/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 28/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 28/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [02:00:00 28/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 28/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 28/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [02:00:00 28/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 28/09/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.7 u1: kg st: NotStopd t0: [02:00:00 28/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [02:00:00 28/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [02:00:00 28/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 28/09/2016] id: D5/.45NS IV Infusions el: 1 cu: MICU cg: -1 ai: 112 vo: 200 vu: ml t0: [02:00:00 28/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [02:00:00 28/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [02:00:00 28/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [02:00:00 28/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [02:00:00 28/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 400 vu: ml
t0: [02:00:00 28/09/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 28/09/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 28/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 28/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 2140 ap: none t0: [23:00:00 28/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 2140 ap: none
t0: [03:00:00 28/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 28/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 28/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 28/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 28/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 28/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [03:00:00 28/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 28/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 28/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 28/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 28/09/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.7 u1: kg st: NotStopd t0: [03:00:00 28/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [03:00:00 28/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [03:00:00 28/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 28/09/2016] id: D5/.45NS IV Infusions el: 1 cu: MICU cg: -1 ai: 112 vo: 200 vu: ml t0: [03:00:00 28/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [03:00:00 28/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [03:00:00 28/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [03:00:00 28/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml
t0: [03:00:00 28/09/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 28/09/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 28/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 28/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 1428 ap: none t0: [23:00:00 28/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 3098 ap: none t0: [23:00:00 28/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN cv: 1360 ap: none t0: [23:00:00 28/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN cv: 958 ap: none t0: [23:00:00 28/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN cv: -1701.43 ap: carryForward
t0: [20:00:00 27/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 27/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 27/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 27/09/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 27/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 27/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [20:00:00 27/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [20:00:00 27/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 27/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: Big Boy Bed st: NotStopd t0: [20:00:00 27/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 27/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 27/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [23:00:00 27/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [23:00:00 27/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [23:00:00 27/09/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 27/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [23:00:00 27/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [23:00:00 27/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [23:00:00 27/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 27/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: Big Boy Bed st: NotStopd t0: [23:00:00 27/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [23:00:00 27/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 28/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 28/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 28/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 28/09/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 28/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [02:00:00 28/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [02:00:00 28/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [02:00:00 28/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 28/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: Big Boy Bed st: NotStopd t0: [02:00:00 28/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [02:00:00 28/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 28/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 28/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 28/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [04:00:00 28/09/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 28/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 28/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 28/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 28/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Pedal v2: 4 mm st: NotStopd t0: [04:00:00 28/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [04:00:00 28/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [04:00:00 28/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 28/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 28/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 28/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [04:00:00 28/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [04:00:00 28/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 28/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 28/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 5 st: NotStopd t0: [04:00:00 28/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 28/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 28/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 5 st: NotStopd t0: [04:00:00 28/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 28/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [04:00:00 28/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 28/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [04:00:00 28/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 28/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [04:00:00 28/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [04:00:00 28/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [04:00:00 28/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 28/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 28/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 28/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 28/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 28/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 28/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [04:00:00 28/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [04:00:00 28/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 28/09/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.7 u1: kg st: NotStopd t0: [04:00:00 28/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 28/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 28/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 28/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [04:00:00 28/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 28/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 28/09/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 28/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [04:00:00 28/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 28/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 28/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 28/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 28/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 28/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [04:00:00 28/09/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 28/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 28/09/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Comp. Immobile st: NotStopd t0: [04:00:00 28/09/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [04:00:00 28/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [04:00:00 28/09/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 11 u1: number st: NotStopd t0: [04:00:00 28/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd
t0: [04:00:00 28/09/2016] id: D5/.45NS IV Infusions el: 1 cu: MICU cg: -1 ai: 112 vo: 200 vu: ml t0: [04:00:00 28/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [04:00:00 28/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [04:00:00 28/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [04:00:00 28/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [04:00:00 28/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 300 vu: ml
t0: [04:00:00 28/09/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 28/09/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [04:00:00 28/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [04:00:00 28/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [04:00:00 28/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 28/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 28/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 28/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 28/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:00:00 28/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 28/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 28/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 28/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 28/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 28/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [04:00:00 28/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [04:00:00 28/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 28/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 28/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 28/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 28/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [04:00:00 28/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [04:00:00 28/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 28/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 28/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [04:00:00 28/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 28/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 28/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 28/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 28/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: Exempt per MD st: NotStopd
t0: [05:09:00 28/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 25.9 u1: % rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 7.5 u1: gm/dl rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 322 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.26 u1: /mic l rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd
t0: [05:09:00 28/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 65 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 107 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 182 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 145 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 65 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 107 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 182 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 145 rs: Final st: NotStopd
t0: [05:09:00 28/09/2016] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 12.4 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [05:09:00 28/09/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 80.8 rs: Final st: NotStopd
t0: [06:00:00 28/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: CoWker vo: 180 vu: ml
t0: [08:00:00 28/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: rrt v1: 41.6667 u1: ml/cmH st: NotStopd t0: [08:00:00 28/09/2016] id: High MV Alarm el: 0 cu: MICU cg: rrt v1: 16 t0: [08:00:00 28/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: rrt v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 28/09/2016] id: FiO2 Set el: 0 cu: MICU cg: rrt v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 28/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: rrt v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 28/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: rrt v1: 10 u1: BPM st: NotStopd t0: [08:00:00 28/09/2016] id: Airway Size el: 0 cu: MICU cg: rrt v1: 8.5 mm st: NotStopd t0: [08:00:00 28/09/2016] id: Airway Type el: 0 cu: MICU cg: rrt v1: Endotracheal st: NotStopd t0: [08:00:00 28/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: rrt v1: 34.5 u1: Deg. C st: NotStopd t0: [08:00:00 28/09/2016] id: Intubation Date el: 0 cu: MICU cg: rrt v1: 7 v2: 23 st: NotStopd t0: [08:00:00 28/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: rrt v1: 6 st: NotStopd t0: [08:00:00 28/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: rrt v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 28/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: rrt v1: 14 u1: cmH2O st: NotStopd t0: [08:00:00 28/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: rrt v1: 11.4 u1: L/min st: NotStopd t0: [08:00:00 28/09/2016] id: PEEP Set el: 0 cu: MICU cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 28/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: rrt v1: 20 st: NotStopd t0: [08:00:00 28/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: rrt v1: 22 u1: cmH2O st: NotStopd t0: [08:00:00 28/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: rrt v1: 12 u1: BPM st: NotStopd t0: [08:00:00 28/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: rrt v1: 22 u1: BPM st: NotStopd t0: [08:00:00 28/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: rrt v1: 10 u1: BPM st: NotStopd t0: [08:00:00 28/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: rrt v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 28/09/2016] id: SpO2 el: 0 cu: MICU cg: rrt v1: 99 u1: % st: NotStopd t0: [08:00:00 28/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: rrt v1: 450 u1: ml/B st: NotStopd t0: [08:00:00 28/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: rrt v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 28/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: rrt v1: Assist Control st: NotStopd t0: [08:00:00 28/09/2016] id: Ventilator Type el: 0 cu: MICU cg: rrt v1: Drager st: NotStopd t0: [08:00:00 28/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: rrt v1: RAMP st: NotStopd
t0: [08:00:00 28/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: rrt v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 28/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: rrt v1: Suctioned v2: Moderate st: NotStopd
t0: [05:00:00 28/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 28/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 28/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 28/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 28/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 28/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [05:00:00 28/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 28/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [05:00:00 28/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [05:00:00 28/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 28/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [05:00:00 28/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 28/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 28/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 28/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 28/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 28/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 28/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 28/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 28/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [06:00:00 28/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 28/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [06:00:00 28/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [06:00:00 28/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 28/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [06:00:00 28/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 28/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 28/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 28/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 28/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 28/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 28/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 28/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 28/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [07:00:00 28/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 28/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [07:00:00 28/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [07:00:00 28/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 28/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [07:00:00 28/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 28/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 28/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 28/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 28/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 28/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 28/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 28/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 28/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [08:00:00 28/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 28/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [08:00:00 28/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [08:00:00 28/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 28/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [08:00:00 28/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 28/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 28/09/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 28/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 28/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 28/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [09:00:00 28/09/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: Off st: NotStopd t0: [09:00:00 28/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [09:00:00 28/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 28/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [09:00:00 28/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [09:00:00 28/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 28/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 28/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [09:00:00 28/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 28/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [09:00:00 28/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [09:00:00 28/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [09:00:00 28/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 28/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [09:00:00 28/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 28/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [09:00:00 28/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 28/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [09:00:00 28/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [09:00:00 28/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [09:00:00 28/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 28/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [09:00:00 28/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [09:00:00 28/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 28/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [09:00:00 28/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 28/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 28/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 28/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [09:00:00 28/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [09:00:00 28/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [09:00:00 28/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [09:00:00 28/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [09:00:00 28/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 28/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 28/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [09:00:00 28/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [09:00:00 28/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 28/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [09:00:00 28/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 28/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 28/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:00:00 28/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [09:00:00 28/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 28/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [09:00:00 28/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [09:00:00 28/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 28/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 28/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [09:00:00 28/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [09:00:00 28/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [09:00:00 28/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 28/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 28/09/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 28/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [09:00:00 28/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [09:00:00 28/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 28/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 28/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [09:00:00 28/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 28/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [09:00:00 28/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [09:00:00 28/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [09:00:00 28/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [09:00:00 28/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [09:00:00 28/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 28/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [09:00:00 28/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [09:00:00 28/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [09:00:00 28/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 28/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [09:00:00 28/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [09:00:00 28/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [09:00:00 28/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [09:00:00 28/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [09:00:00 28/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [09:00:00 28/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [09:00:00 28/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [09:00:00 28/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [06:00:00 28/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 28/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [06:00:00 28/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [06:00:00 28/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [08:00:00 28/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 28/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [08:00:00 28/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [08:00:00 28/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [08:00:00 28/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 340 vu: ml t0: [09:00:00 28/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [09:00:00 28/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 28/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [09:00:00 28/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [09:00:00 28/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [09:00:00 28/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml
t0: [05:00:00 28/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 28/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [06:00:00 28/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 28/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [07:00:00 28/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 28/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [08:00:00 28/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 28/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [09:00:00 28/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 28/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 28/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 60 ap: none
t0: [10:00:00 28/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 28/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 28/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 28/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 28/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 28/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [10:00:00 28/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 28/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 28/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [10:00:00 28/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 28/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [10:00:00 28/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 28/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 28/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 28/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 28/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [11:00:00 28/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 28/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 28/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 28/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 28/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 28/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [11:00:00 28/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 28/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:00:00 28/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [11:00:00 28/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 28/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [11:00:00 28/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 28/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 28/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [11:00:00 28/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [11:00:00 28/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [11:00:00 28/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 28/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 28/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [11:00:00 28/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [11:00:00 28/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [11:00:00 28/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 340 vu: ml
t0: [11:00:00 28/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 28/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [12:00:00 28/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: rrt v1: 45.4545 u1: ml/cmH st: NotStopd t0: [12:00:00 28/09/2016] id: High MV Alarm el: 0 cu: MICU cg: rrt v1: 16 t0: [12:00:00 28/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: rrt v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 28/09/2016] id: FiO2 Set el: 0 cu: MICU cg: rrt v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 28/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: rrt v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 28/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: rrt v1: 10 u1: BPM st: NotStopd t0: [12:00:00 28/09/2016] id: Airway Size el: 0 cu: MICU cg: rrt v1: 8.5 mm st: NotStopd t0: [12:00:00 28/09/2016] id: Airway Type el: 0 cu: MICU cg: rrt v1: Endotracheal st: NotStopd t0: [12:00:00 28/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: rrt v1: 34.5 u1: Deg. C st: NotStopd t0: [12:00:00 28/09/2016] id: Intubation Date el: 0 cu: MICU cg: rrt v1: 7 v2: 23 st: NotStopd t0: [12:00:00 28/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: rrt v1: 6 st: NotStopd t0: [12:00:00 28/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: rrt v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 28/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: rrt v1: 14 u1: cmH2O st: NotStopd t0: [12:00:00 28/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: rrt v1: 10.9 u1: L/min st: NotStopd t0: [12:00:00 28/09/2016] id: PEEP Set el: 0 cu: MICU cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 28/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: rrt v1: 20 st: NotStopd t0: [12:00:00 28/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: rrt v1: 21 u1: cmH2O st: NotStopd t0: [12:00:00 28/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: rrt v1: 12 u1: BPM st: NotStopd t0: [12:00:00 28/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: rrt v1: 22 u1: BPM st: NotStopd t0: [12:00:00 28/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: rrt v1: 10 u1: BPM st: NotStopd t0: [12:00:00 28/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: rrt v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 28/09/2016] id: SpO2 el: 0 cu: MICU cg: rrt v1: 98 u1: % st: NotStopd t0: [12:00:00 28/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: rrt v1: 484 u1: ml/B st: NotStopd t0: [12:00:00 28/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: rrt v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 28/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: rrt v1: Assist Control st: NotStopd t0: [12:00:00 28/09/2016] id: Ventilator Type el: 0 cu: MICU cg: rrt v1: Drager st: NotStopd t0: [12:00:00 28/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: rrt v1: RAMP st: NotStopd
t0: [12:00:00 28/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: rrt v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 28/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: rrt v1: Suctioned v2: Moderate st: NotStopd
tf: [16:00:00 05/10/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Humulin-R Insulin v1: 100 u1: UNIT m2: NS v2: 100 u2: ml
t0: [12:00:00 28/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 28/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 28/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 28/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 28/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 28/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 28/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Pedal v2: 4 mm st: NotStopd t0: [12:00:00 28/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 28/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 28/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 28/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 28/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [12:00:00 28/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 28/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 28/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [12:00:00 28/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 28/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 28/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [12:00:00 28/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 28/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 28/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 28/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 28/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 28/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 28/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 28/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 28/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 28/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 28/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 28/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [12:00:00 28/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [12:00:00 28/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 28/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [12:00:00 28/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 28/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 28/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [12:00:00 28/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 28/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 28/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 28/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 28/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 28/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [12:00:00 28/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 28/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 28/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 28/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 28/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 28/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd
t0: [12:00:00 28/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [12:00:00 28/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 28/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [12:00:00 28/09/2016] tf: [11:00:00 01/10/2016] dt: 4260 id: water bolus Free Form Intake el: 1 cu: MICU cg: RN vo: 250 vu: ml t0: [12:00:00 28/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [12:00:00 28/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [12:00:00 28/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [12:00:00 28/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 28/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [13:00:00 28/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 28/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 28/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 28/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 28/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 28/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [13:00:00 28/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 28/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 87 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [13:00:00 28/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 47 u1: mmHg st: NotStopd t0: [13:00:00 28/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 28/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [13:00:00 28/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [13:00:00 28/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 28/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 28/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 28/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [13:30:00 28/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 158 rs: Manual st: NotStopd
tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Nystatin Oral Suspension v1: 5 u1: ml
t0: [12:00:00 28/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 126 rs: Manual st: NotStopd t0: [14:00:00 28/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 28/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 28/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 28/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 28/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 28/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [14:00:00 28/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 28/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 28/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [14:00:00 28/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 28/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [14:00:00 28/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 28/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 28/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 28/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 28/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 28/09/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 28/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 28/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 28/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [15:00:00 28/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 28/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:00:00 28/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [15:00:00 28/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 28/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.7 u1: kg st: NotStopd t0: [15:00:00 28/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [15:00:00 28/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 28/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 28/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [15:00:00 28/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [15:00:00 28/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 28/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 150 rs: Manual st: NotStopd
t0: [13:00:00 28/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [15:00:00 28/09/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 15 vu: ml t0: [15:00:00 28/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 6 vu: ml t0: [15:00:00 28/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 255 vu: ml t0: [15:00:00 28/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 3 vu: ml t0: [15:00:00 28/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [14:00:00 28/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 28/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [15:00:00 28/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 28/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
tf: [14:00:00 29/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 6.25 u1: mg
t0: [05:09:00 28/09/2016] id: Gentamycin/Trough Drug Level el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd
tf: [09:00:00 29/09/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 3 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [04:32:00 29/09/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [04:32:00 29/09/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:32:00 29/09/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:32:00 29/09/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [04:32:00 29/09/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 118 u1: mmHg rs: Final st: NotStopd t0: [04:32:00 29/09/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.4 rs: Final st: NotStopd
t0: [04:30:00 29/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 10 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 17.2 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 75.8 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 25.2 u1: % rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 7.5 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 320 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.11 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10 rs: Final st: NotStopd
t0: [04:30:00 29/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 67 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 92 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 148 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 67 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] 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 29/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 92 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:30:00 29/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 148 rs: Final st: NotStopd
tf: [15:00:00 29/09/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml tf: [15:00:00 29/09/2016] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Furosemide v1: 80 u1: mg
tf: [16:00:00 30/09/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 14, 22, 6 dn: 3 m1: Piperacillin-Tazobactam Na v1: 4.5 u1: gm m2: Iso-Osmotic Dextrose v2: 100 u2: ml
id: Insulin el: 100 cu: MICU cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions am: 100 du: Uhr rt: IV Drip
io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ra: 7 ru: ml/hr
tf: [15:00:00 29/09/2016] pt: Unit Dose rt: PO fr: ONCE fs: 15 dn: 1 m1: Captopril v1: 6.25 u1: mg
id: .9% Normal Saline el: 1 cu: MICU cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [14:55:00 29/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:55:00 29/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:55:00 29/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:55:00 29/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:55:00 29/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [14:55:00 29/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:55:00 29/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 69 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [14:55:00 29/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [14:55:00 29/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:55:00 29/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:55:00 29/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:55:00 29/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 29/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [15:00:00 29/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 29/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 29/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [15:00:00 29/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [15:00:00 29/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [15:00:00 29/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 29/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 29/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 2 mm st: NotStopd t0: [15:00:00 29/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [15:00:00 29/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [15:00:00 29/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [15:00:00 29/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 29/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [15:00:00 29/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [15:00:00 29/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 29/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:00:00 29/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 29/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 13 st: NotStopd t0: [15:00:00 29/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 29/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [15:00:00 29/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [15:00:00 29/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 29/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [15:00:00 29/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 29/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [15:00:00 29/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [15:00:00 29/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [15:00:00 29/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [15:00:00 29/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [15:00:00 29/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 29/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 29/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 29/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [15:00:00 29/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [15:00:00 29/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 29/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 88 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [15:00:00 29/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [15:00:00 29/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [15:00:00 29/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [15:00:00 29/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [15:00:00 29/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [15:00:00 29/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 29/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 29/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [15:00:00 29/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:00:00 29/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 29/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 29/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [15:00:00 29/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 29/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [15:00:00 29/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 29/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3889 u1: Deg. C st: NotStopd t0: [15:00:00 29/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.1 u1: Deg. F st: NotStopd t0: [15:00:00 29/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [15:00:00 29/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 29/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 29/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 29/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 29/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [15:00:00 29/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [15:00:00 29/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [15:00:00 29/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [15:00:00 29/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [15:00:00 29/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [15:00:00 29/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [15:00:00 29/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [14:00:00 29/09/2016] tf: [16:00:00 29/09/2016] dt: 120 id: total intake since n Free Form Intake el: 1 cu: MICU cg: RN vo: 3219 vu: ml t0: [14:00:00 29/09/2016] tf: [08:00:00 09/10/2016] dt: 14040 id: total out since mn el: 1 cu: MICU cg: RN vo: 3490 vu: ml t0: [15:00:00 29/09/2016] tf: [15:58:00 24/10/2016] dt: 36058 id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 29/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [15:00:00 29/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [15:00:00 29/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [15:00:00 29/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [15:45:00 29/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:45:00 29/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:45:00 29/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:45:00 29/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:45:00 29/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [15:45:00 29/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [15:45:00 29/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [15:45:00 29/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [15:45:00 29/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:45:00 29/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:45:00 29/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:45:00 29/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 29/09/2016] id: total intake since n Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 st: D/C'd
tf: [15:00:00 29/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 25 u1: mg tf: [22:00:00 29/09/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 6.25 u1: mg
t0: [16:00:00 29/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 29/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 29/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 29/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 29/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [16:00:00 29/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 29/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 154 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:00:00 29/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [16:00:00 29/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 29/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [16:00:00 29/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 29/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 29/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 135 rs: Manual st: NotStopd
t0: [16:00:00 29/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [16:00:00 29/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 29/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [16:00:00 29/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [16:00:00 29/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [16:00:00 29/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [15:00:00 29/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 29/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [15:00:00 29/09/2016] tf: [07:00:00 07/10/2016] dt: 11040 id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 29/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [16:35:00 29/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:35:00 29/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:35:00 29/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [16:35:00 29/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 164 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [16:35:00 29/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [16:35:00 29/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:35:00 29/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:35:00 29/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:35:00 29/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:40:00 29/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:40:00 29/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:40:00 29/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [16:40:00 29/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 149 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [16:40:00 29/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [16:40:00 29/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:40:00 29/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:40:00 29/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:40:00 29/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:35:00 29/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:35:00 29/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [16:35:00 29/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip t0: [16:40:00 29/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:40:00 29/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [16:40:00 29/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 29/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 29/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 29/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 29/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 29/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [17:00:00 29/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 29/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 29/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [17:00:00 29/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 29/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 29/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 29/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 29/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [17:00:00 29/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 29/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [17:00:00 29/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [17:00:00 29/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [17:00:00 29/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 340 vu: ml
t0: [16:00:00 29/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip t0: [17:00:00 29/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 29/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [17:00:00 29/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 133 rs: Manual st: NotStopd
t0: [17:00:00 29/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 29/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [17:00:00 29/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [17:00:00 29/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [18:00:00 29/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 29/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 29/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 29/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 29/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 29/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 29/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [18:00:00 29/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 29/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 29/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 29/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 29/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 29/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:00:00 29/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [18:00:00 29/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [18:00:00 29/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [18:00:00 29/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 29/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 29/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 29/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 29/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 29/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [18:00:00 29/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [18:00:00 29/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 29/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 29/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 29/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 29/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: DONE
t0: [18:00:00 29/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [18:00:00 29/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 29/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [18:00:00 29/09/2016] tf: [13:00:00 30/09/2016] dt: 1140 id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 500 vu: ml t0: [18:00:00 29/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [18:00:00 29/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [18:00:00 29/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 290 vu: ml
t0: [18:00:00 29/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 29/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [18:00:00 29/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 128 rs: Manual st: NotStopd
t0: [18:00:00 29/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 29/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [18:00:00 29/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RT v1: PEEP >10 st: NotStopd t0: [18:00:00 29/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RT v1: 17 t0: [18:00:00 29/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RT v1: 25cm v2: Lip st: NotStopd t0: [18:00:00 29/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RT v1: 0.4 u1: torr st: NotStopd t0: [18:00:00 29/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RT v1: 40 u1: cmH2O st: NotStopd t0: [18:00:00 29/09/2016] id: Airway Size el: 0 cu: MICU cg: RT v1: 8.5 mm st: NotStopd t0: [18:00:00 29/09/2016] id: Airway Type el: 0 cu: MICU cg: RT v1: Endotracheal st: NotStopd t0: [18:00:00 29/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RT u1: Deg. C st: NotStopd t0: [18:00:00 29/09/2016] id: Intubation Date el: 0 cu: MICU cg: RT v1: 7 v2: 23 st: NotStopd t0: [18:00:00 29/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RT v1: 6 st: NotStopd t0: [18:00:00 29/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RT v1: 14 u1: cmH2O st: NotStopd t0: [18:00:00 29/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RT v1: 11.1 u1: L/min st: NotStopd t0: [18:00:00 29/09/2016] id: PEEP Set el: 0 cu: MICU cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [18:00:00 29/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RT v1: 20 st: NotStopd t0: [18:00:00 29/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RT v1: 22 u1: cmH2O st: NotStopd t0: [18:00:00 29/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RT v1: 22 u1: cmH2O st: NotStopd t0: [18:00:00 29/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RT v1: 13 u1: BPM st: NotStopd t0: [18:00:00 29/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RT v1: 23 u1: BPM st: NotStopd t0: [18:00:00 29/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RT v1: 10 u1: BPM st: NotStopd t0: [18:00:00 29/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RT v1: 4 u1: cmH2O st: NotStopd t0: [18:00:00 29/09/2016] id: SpO2 el: 0 cu: MICU cg: RT v1: 99 u1: % st: NotStopd t0: [18:00:00 29/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RT v1: 500 u1: ml/B st: NotStopd t0: [18:00:00 29/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RT v1: 500 u1: ml/B st: NotStopd t0: [18:00:00 29/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RT v1: Assist Control st: NotStopd t0: [18:00:00 29/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RT v1: Drager st: NotStopd t0: [18:00:00 29/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RT v1: RAMP st: NotStopd
t0: [19:00:00 29/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 29/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 29/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 29/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 29/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [19:00:00 29/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 29/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [19:00:00 29/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [19:00:00 29/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 29/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [19:00:00 29/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 29/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 29/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 95 rs: Manual st: NotStopd
t0: [19:00:00 29/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 29/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [19:00:00 29/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [19:00:00 29/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [19:00:00 29/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [19:00:00 29/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 29/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [19:00:00 29/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:30:00 29/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [18:30:00 29/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd
t0: [20:00:00 29/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 29/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 29/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 29/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [20:00:00 29/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 29/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [20:00:00 29/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 29/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 132 u2: mmHg st: NotStopd t0: [20:00:00 29/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 134 u1: mmHg st: NotStopd t0: [20:00:00 29/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 29/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [20:00:00 29/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 29/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 29/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 29/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [20:00:00 29/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [20:00:00 29/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [20:00:00 29/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [20:00:00 29/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 29/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [20:00:00 29/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 29/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 29/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 29/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 29/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 29/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 29/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 2 mm st: NotStopd t0: [20:00:00 29/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 29/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 29/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 29/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 29/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 29/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 29/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 29/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 29/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [20:00:00 29/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 29/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 29/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 29/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 29/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 29/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 29/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 29/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 29/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 29/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 29/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 29/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 29/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 29/09/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [20:00:00 29/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 29/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 29/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 29/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 29/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 29/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 29/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 29/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 29/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 29/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 29/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 29/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [20:00:00 29/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [20:00:00 29/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 29/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 29/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 29/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 29/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 29/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 29/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 29/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 29/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 29/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 29/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 29/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 29/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [20:00:00 29/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 90 vu: ml
t0: [20:00:00 29/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 98 rs: Manual st: NotStopd
t0: [21:00:00 29/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [21:00:00 29/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [21:00:00 29/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [21:00:00 29/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:00:00 29/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [21:00:00 29/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 29/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5.0 st: NotStopd t0: [21:00:00 29/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [21:00:00 29/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 29/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.9 u1: Deg. C st: NotStopd t0: [21:00:00 29/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [21:00:00 29/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [21:00:00 29/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [21:00:00 29/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [21:00:00 29/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.2 u1: L/min st: NotStopd t0: [21:00:00 29/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 29/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [21:00:00 29/09/2016] id: Peak Flow el: 0 cu: MICU cg: RRT u1: L/m st: NotStopd t0: [21:00:00 29/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [21:00:00 29/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [21:00:00 29/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 29/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [21:00:00 29/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 29/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:00:00 29/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [21:00:00 29/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [21:00:00 29/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 29/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [21:00:00 29/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [21:00:00 29/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 29/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [21:00:00 29/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 29/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 29/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 29/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 29/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 29/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 29/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: Trendelenberg st: NotStopd t0: [21:00:00 29/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [21:00:00 29/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 29/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 29/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 29/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 29/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 85 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [21:00:00 29/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [21:00:00 29/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [21:00:00 29/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 29/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [21:00:00 29/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:00:00 29/09/2016] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd t0: [21:00:00 29/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 29/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [21:00:00 29/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 29/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 250 vu: ml t0: [21:00:00 29/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 29/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [21:00:00 29/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [21:00:00 29/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [21:00:00 29/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [21:00:00 29/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 29/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [21:00:00 29/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 29/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 29/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [22:00:00 29/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 29/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 29/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 29/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 29/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 29/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [22:00:00 29/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 29/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 29/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 13 st: NotStopd t0: [22:00:00 29/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 29/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [22:00:00 29/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 29/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [22:00:00 29/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [22:00:00 29/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 29/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 29/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 29/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 29/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 29/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [22:00:00 29/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [22:00:00 29/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [22:00:00 29/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 29/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 29/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:00:00 29/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 29/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [22:00:00 29/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [22:00:00 29/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [22:00:00 29/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 29/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [22:00:00 29/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 29/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 80 rs: Manual st: NotStopd
t0: [22:00:00 29/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 29/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [22:00:00 29/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 29/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [22:00:00 29/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [22:00:00 29/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [22:00:00 29/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [22:00:00 29/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 29/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [22:00:00 29/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 29/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 130 ap: none
t0: [23:00:00 29/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 29/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 29/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 29/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 29/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 29/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [23:00:00 29/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 29/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [23:00:00 29/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:00:00 29/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 29/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 29/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 29/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 29/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [23:00:00 29/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [23:00:00 29/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [23:00:00 29/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [23:00:00 29/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 29/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [23:00:00 29/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 29/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 30 cv: 30 ap: none t0: [23:00:00 29/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 68 cv: 68 ap: none t0: [23:00:00 29/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 13 cv: 667 ap: none t0: [23:00:00 29/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 98 cv: 5281 ap: none t0: [23:00:00 29/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 85 cv: 765 ap: none t0: [23:00:00 29/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 30 cv: 1320 ap: none t0: [23:00:00 29/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 68 cv: 471 ap: none t0: [23:00:00 29/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 30 cv: 4810 ap: none t0: [23:00:00 29/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 68 cv: -1230.43 ap: carryForward
t0: [23:00:00 29/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 88 rs: Manual st: NotStopd
t0: [00:00:00 30/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 30/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 30/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [00:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [00:00:00 30/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 30/09/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [00:00:00 30/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [00:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 99 rs: Manual st: NotStopd
t0: [00:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [00:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 30/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [00:00:00 30/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [00:00:00 30/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [00:00:00 30/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 30/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 30/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 30/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5.0 st: NotStopd t0: [00:00:00 30/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [00:00:00 30/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 30/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.9 u1: Deg. C st: NotStopd t0: [00:00:00 30/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 30/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [00:00:00 30/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 30/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [00:00:00 30/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.8 u1: L/min st: NotStopd t0: [00:00:00 30/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 30/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 30/09/2016] id: Peak Flow el: 0 cu: MICU cg: RRT u1: L/m st: NotStopd t0: [00:00:00 30/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:00:00 30/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [00:00:00 30/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 30/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [00:00:00 30/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 30/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 30/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 30/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 30/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 507 u1: ml/B st: NotStopd t0: [00:00:00 30/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 30/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 30/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 30/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 30/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 30/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 30/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 30/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 2 mm st: NotStopd t0: [00:00:00 30/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 30/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 30/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 30/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 30/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 30/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 13 st: NotStopd t0: [00:00:00 30/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 30/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [00:00:00 30/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 30/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 30/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 30/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 30/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 30/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 30/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 30/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 30/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 30/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 30/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 30/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 30/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 30/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 30/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 30/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 30/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 30/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 30/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 30/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 30/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 30/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 30/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 30/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.8333 u1: Deg. C st: NotStopd t0: [00:00:00 30/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.9 u1: Deg. F st: NotStopd t0: [00:00:00 30/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 30/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 30/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 30/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 30/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [00:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [00:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [01:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 30/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [01:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [01:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [01:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [01:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [01:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 30/09/2016] tf: [08:00:00 01/10/2016] dt: 1920 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [00:00:00 30/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [00:00:00 30/09/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 500 vu: ml t0: [01:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [01:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [01:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [01:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [01:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [01:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 88 rs: Manual st: NotStopd
t0: [02:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 30/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [02:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 30/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [02:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [02:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [02:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 30/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [02:00:00 30/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [02:00:00 30/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [02:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 30/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [02:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [02:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [02:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [02:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [02:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 30/09/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 170 ap: none
t0: [02:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 99 rs: Manual st: NotStopd
t0: [03:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 30/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [03:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [03:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [03:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [03:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [03:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [03:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [03:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [03:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [03:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [03:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 30/09/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 200 cv: 200 ap: none t0: [23:00:00 30/09/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: -98 cv: -98 ap: none t0: [23:00:00 30/09/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 17 cv: 754.5 ap: none t0: [23:00:00 30/09/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 102 cv: 4939.5 ap: none t0: [23:00:00 30/09/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 pv: 85 cv: 1615 ap: none t0: [23:00:00 30/09/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 200 cv: 3015 ap: none t0: [23:00:00 30/09/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: -98 cv: 1924.5 ap: none t0: [23:00:00 30/09/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 200 cv: 3015 ap: none t0: [23:00:00 30/09/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: -98 cv: 694.069 ap: carryForward
t0: [03:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 104 rs: Manual st: NotStopd
t0: [04:00:00 30/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 30/09/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 30/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 30/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 30/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 30/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 30/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 2 mm st: NotStopd t0: [04:00:00 30/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 30/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 30/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 30/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 30/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [04:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 30/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 30/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 13 st: NotStopd t0: [04:00:00 30/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 30/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 30/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [04:00:00 30/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 30/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 30/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 30/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 30/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 30/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 30/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 30/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 30/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 30/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 30/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 30/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 30/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 30/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 30/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [04:00:00 30/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 30/09/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [04:00:00 30/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [04:00:00 30/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 30/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 30/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 30/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 30/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [04:00:00 30/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 30/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 30/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 30/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 30/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 30/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 30/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2778 u1: Deg. C st: NotStopd t0: [04:00:00 30/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.9 u1: Deg. F st: NotStopd t0: [04:00:00 30/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 30/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 30/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 30/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 30/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 30/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [04:00:00 30/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [04:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [04:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [04:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [04:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [04:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 30/09/2016] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 0 ap: none
t0: [04:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 93 rs: Manual st: NotStopd
t0: [04:00:00 30/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [04:00:00 30/09/2016] id: RSBI (<100) el: 0 cu: MICU cg: RRT u1: units st: NotStopd t0: [04:00:00 30/09/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 30/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [04:00:00 30/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [04:00:00 30/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 30/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 30/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 30/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5.0 st: NotStopd t0: [04:00:00 30/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:00:00 30/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 30/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.6 u1: Deg. C st: NotStopd t0: [04:00:00 30/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 30/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 30/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 30/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:00:00 30/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14.5 u1: L/min st: NotStopd t0: [04:00:00 30/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 30/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 30/09/2016] id: Peak Flow el: 0 cu: MICU cg: RRT u1: L/m st: NotStopd t0: [04:00:00 30/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [04:00:00 30/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [04:00:00 30/09/2016] id: RSBI (<200) el: 0 cu: MICU cg: RRT u1: units st: NotStopd t0: [04:00:00 30/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [04:00:00 30/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [04:00:00 30/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 30/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 30/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 30/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 30/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 528 u1: ml/B st: NotStopd t0: [04:00:00 30/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 30/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 30/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 30/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:20:00 30/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.9 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 12.9 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 25.6 u1: % rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 7.6 u1: gm/dl rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 327 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.26 u1: /mic l rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.9 rs: Final st: NotStopd
t0: [05:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 30/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [05:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [05:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [05:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [05:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [05:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 104 rs: Manual st: NotStopd
t0: [05:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [05:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [05:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [05:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [05:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [05:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:20:00 30/09/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 66 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 108 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 93 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 66 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 108 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 93 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd
t0: [05:00:00 30/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd
t0: [04:20:00 30/09/2016] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 17 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 75.4 rs: Final st: NotStopd
t0: [06:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 30/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [06:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [06:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [06:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 30/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [06:00:00 30/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [06:00:00 30/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [06:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 30/09/2016] tf: [08:00:00 08/10/2016] dt: 11700 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [06:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [06:00:00 30/09/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 500 vu: ml t0: [06:00:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [06:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [06:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml
t0: [06:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [06:00:00 30/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 150 vu: ml t0: [06:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [06:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 118 rs: Manual st: NotStopd
t0: [06:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 30/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [07:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [07:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [07:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [07:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [07:00:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 8 vu: ml t0: [07:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [07:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [07:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [07:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [07:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 97 rs: Manual st: NotStopd
t0: [08:00:00 30/09/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 30/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 30/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 30/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 30/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 30/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 2 mm st: NotStopd t0: [08:00:00 30/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 30/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 30/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 30/09/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 30/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [08:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 30/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 30/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 30/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 30/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [08:00:00 30/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 30/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 30/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 30/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 30/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 30/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 30/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 30/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 30/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 30/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 30/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 30/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 30/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 30/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 30/09/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 30/09/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [08:00:00 30/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 30/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 30/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 30/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 30/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 30/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 30/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 30/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 30/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 30/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Clear v2: Thin st: NotStopd t0: [08:00:00 30/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 30/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 30/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 30/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [08:00:00 30/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [08:00:00 30/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 30/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 30/09/2016] id: BSA - English el: 0 cu: MICU cg: RN v1: 1.90554 u1: m2 st: NotStopd t0: [08:00:00 30/09/2016] id: BSA - Metric el: 0 cu: MICU cg: RN v1: 2.2041 u1: m2 st: NotStopd t0: [08:00:00 30/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 30/09/2016] id: Weight Change el: 0 cu: MICU cg: RN v1: 0.1 u1: kg st: NotStopd t0: [08:00:00 30/09/2016] id: Daily Weight el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [08:00:00 30/09/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 103 rs: Manual st: NotStopd t0: [08:00:00 30/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 30/09/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 30/09/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 30/09/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 30/09/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 30/09/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 30/09/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 30/09/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 30/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 40 vu: ml t0: [08:00:00 30/09/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [08:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [08:00:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 8 vu: ml t0: [08:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [08:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [08:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [08:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [08:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 30/09/2016] id: CVP el: 0 cu: MICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [09:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [09:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 30/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [09:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 81 rs: Manual st: NotStopd
t0: [09:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [09:00:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 8 vu: ml t0: [09:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [09:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml
t0: [09:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [09:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 30/09/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [09:00:00 30/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [09:00:00 30/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [09:00:00 30/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [09:00:00 30/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 30/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [09:00:00 30/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:00:00 30/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [09:00:00 30/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [09:00:00 30/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 30/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 32 u1: Deg. C st: NotStopd t0: [09:00:00 30/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [09:00:00 30/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [09:00:00 30/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [09:00:00 30/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [09:00:00 30/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.1 u1: L/min st: NotStopd t0: [09:00:00 30/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 30/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [09:00:00 30/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [09:00:00 30/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [09:00:00 30/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [09:00:00 30/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [09:00:00 30/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:00:00 30/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 30/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 527 u1: ml/B st: NotStopd t0: [09:00:00 30/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [09:00:00 30/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [09:00:00 30/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [09:00:00 30/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [10:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [10:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [10:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [10:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 30/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [10:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 30/09/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [10:00:00 30/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [10:00:00 30/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [10:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [10:00:00 30/09/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [10:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [10:00:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [10:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [10:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [10:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [10:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [10:00:00 30/09/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 30/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 30/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 30/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 30/09/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 30/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 30/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 30/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [10:00:00 30/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 30/09/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 30/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 30/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 30/09/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 30/09/2016] id: Bath el: 1 cu: MICU cg: RN v1: done t0: [10:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 117 rs: Manual st: NotStopd
t0: [10:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 30/09/2016] id: ETT Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [09:00:00 30/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 30/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 30/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 30/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [11:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [11:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [11:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [11:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 30/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [11:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 98 rs: Manual st: NotStopd
t0: [11:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [11:00:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 8 vu: ml t0: [11:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [11:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [11:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 95 vu: ml
t0: [11:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [11:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 30/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [12:00:00 30/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [12:00:00 30/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [12:00:00 30/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 30/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 30/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 30/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [12:00:00 30/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [12:00:00 30/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 30/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 30/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [12:00:00 30/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [12:00:00 30/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [12:00:00 30/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.5 u1: L/min st: NotStopd t0: [12:00:00 30/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 30/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 30/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [12:00:00 30/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [12:00:00 30/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 30/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [12:00:00 30/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 30/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 30/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 501 u1: ml/B st: NotStopd t0: [12:00:00 30/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 30/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 30/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 30/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:20:00 30/09/2016] id: Albumin Chemistry el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 51 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 65 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 85 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Amylase Enzymes el: 0 cu: MICU cg: 1663 v1: 77 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: LDH Enzymes el: 0 cu: MICU cg: 1663 v1: 261 rs: Final st: NotStopd t0: [04:20:00 30/09/2016] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd
t0: [12:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 30/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 30/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 30/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 30/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 30/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 30/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 30/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [12:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 30/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 30/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 30/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 30/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 30/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 30/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [12:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [12:00:00 30/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 30/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [12:00:00 30/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 30/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 30/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 30/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 30/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 30/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 30/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 30/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 30/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [12:30:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:30:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [12:30:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [12:30:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [12:30:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:30:00 30/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [12:30:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:30:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:30:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [13:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [13:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [13:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 30/09/2016] id: Previous Weight el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [13:00:00 30/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [13:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 30/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [13:00:00 30/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [13:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 94 rs: Manual st: NotStopd
t0: [12:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [12:00:00 30/09/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 500 vu: ml t0: [12:00:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 8 vu: ml t0: [12:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [12:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [12:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [13:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [13:00:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [13:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 0 vu: ml t0: [13:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [13:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [12:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [12:30:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:30:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [12:30:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [13:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [13:30:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 90 rs: Manual st: NotStopd
t0: [14:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [14:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [14:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 30/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [14:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 84 rs: Manual st: NotStopd
t0: [13:00:00 30/09/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [14:00:00 30/09/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [14:00:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [14:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 0 vu: ml t0: [14:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [14:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [14:15:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [14:15:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2.5 vu: ml t0: [14:15:00 30/09/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [14:15:00 30/09/2016] tf: [15:58:00 24/10/2016] dt: 34663 id: READYCAT Free Form Intake el: 1 cu: MICU cg: RN vo: 450 vu: ml t0: [14:15:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [14:15:00 30/09/2016] tf: [15:00:00 30/09/2016] dt: 45 id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 21.25 vu: ml t0: [14:15:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1.25 vu: ml t0: [15:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [12:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [13:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [14:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 30/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [14:00:00 30/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 30/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 13 st: NotStopd t0: [14:00:00 30/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 30/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:00:00 30/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [14:00:00 30/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 30/09/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 30/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [15:00:00 30/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [15:00:00 30/09/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [15:00:00 30/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 25cm v2: Lip st: NotStopd t0: [15:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 30/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 2 mm st: NotStopd t0: [15:00:00 30/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [15:00:00 30/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [15:00:00 30/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [15:00:00 30/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [15:00:00 30/09/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [15:00:00 30/09/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [15:00:00 30/09/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [15:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 30/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [15:00:00 30/09/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 30/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 30/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [15:00:00 30/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [15:00:00 30/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [15:00:00 30/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [15:00:00 30/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [15:00:00 30/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [15:00:00 30/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [15:00:00 30/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [15:00:00 30/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 30/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 30/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 30/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [15:00:00 30/09/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [15:00:00 30/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 30/09/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [15:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [15:00:00 30/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 30/09/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [15:00:00 30/09/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [15:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 30/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [15:00:00 30/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [15:00:00 30/09/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Urine Culture st: NotStopd t0: [15:00:00 30/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [15:00:00 30/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [15:00:00 30/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 30/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [15:00:00 30/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [15:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 30/09/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 30/09/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 30/09/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [15:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 30/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 30/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [15:00:00 30/09/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [15:00:00 30/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 30/09/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 30/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [15:00:00 30/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 30/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [15:00:00 30/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 90 rs: Manual st: NotStopd t0: [15:00:00 30/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [15:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [15:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1.5 vu: ml t0: [15:00:00 30/09/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [15:00:00 30/09/2016] id: READYCAT Free Form Intake el: 1 cu: MICU cg: RN vo: 450 vu: ml t0: [15:00:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [15:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.75 vu: ml
t0: [15:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [15:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [16:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [16:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 30/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [16:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [16:00:00 30/09/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [16:00:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [16:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [16:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [16:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [16:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 92 rs: Manual st: NotStopd
t0: [16:50:00 30/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [16:50:00 30/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 17 t0: [16:50:00 30/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [16:50:00 30/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:50:00 30/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:50:00 30/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:50:00 30/09/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [16:50:00 30/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [16:50:00 30/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:50:00 30/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:50:00 30/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:50:00 30/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 6 st: NotStopd t0: [16:50:00 30/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:50:00 30/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [16:50:00 30/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.8 u1: L/min st: NotStopd t0: [16:50:00 30/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:50:00 30/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:50:00 30/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [16:50:00 30/09/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [16:50:00 30/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [16:50:00 30/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [16:50:00 30/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:50:00 30/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:50:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [16:50:00 30/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 564 u1: ml/B st: NotStopd t0: [16:50:00 30/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:50:00 30/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:50:00 30/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:50:00 30/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
tf: [02:00:00 04/10/2016] pt: IV Piggyback rt: IV fr: Q4H fs: 17, 21, 1, 5, 9, 13 dn: 6 m1: Ampicillin Sodium v1: 2 u1: gm m2: NS v2: 100 u2: ml tf: [02:00:00 04/10/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 17, 1, 9 dn: 3 m1: Ceftazidime v1: 1 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
t0: [18:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 97 rs: Manual st: NotStopd
t0: [17:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 30/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 25cm v2: Lip st: NotStopd t0: [17:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [17:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 30/09/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 8.5 mm st: NotStopd t0: [17:00:00 30/09/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [17:00:00 30/09/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [17:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 30/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [17:00:00 30/09/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: CT scan st: NotStopd t0: [17:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 30/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [17:00:00 30/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [17:00:00 30/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [17:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 30/09/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 30/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [18:00:00 30/09/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [18:00:00 30/09/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [18:00:00 30/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 30/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 30/09/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 30/09/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [18:00:00 30/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 30/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 30/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 30/09/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:15:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:15:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:15:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:15:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:15:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [18:15:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:15:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [18:15:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [18:15:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:15:00 30/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [18:15:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 85 u1: % st: NotStopd t0: [18:15:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:15:00 30/09/2016] tf: [19:00:00 30/09/2016] dt: 45 id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 0 vu: ml t0: [16:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 0 vu: ml t0: [18:15:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 22.5 vu: ml t0: [18:15:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4.5 vu: ml t0: [18:15:00 30/09/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [18:15:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 9 vu: ml t0: [18:15:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 191.25 vu: ml t0: [18:15:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2.25 vu: ml t0: [18:15:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 210 vu: ml
t0: [17:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [17:00:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [18:15:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:15:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [18:15:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:30:00 30/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [18:30:00 30/09/2016] id: ETT Position Change el: 0 cu: MICU cg: RRT v1: Done st: NotStopd
t0: [18:00:00 30/09/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [18:00:00 30/09/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [18:00:00 30/09/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [18:00:00 30/09/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 30/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [18:00:00 30/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [18:00:00 30/09/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:30:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:30:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:30:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:30:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [18:30:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:30:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:30:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:30:00 30/09/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [18:30:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:30:00 30/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [18:30:00 30/09/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [18:30:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 30/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [19:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [19:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1.5 vu: ml t0: [19:00:00 30/09/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [19:00:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [19:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 0 vu: ml t0: [19:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.75 vu: ml
t0: [18:30:00 30/09/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:30:00 30/09/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [18:30:00 30/09/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:30:00 30/09/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [19:30:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [19:30:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [19:30:00 30/09/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [19:30:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [19:30:00 30/09/2016] tf: [08:00:00 01/10/2016] dt: 750 id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 42.5 vu: ml t0: [19:30:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml
t0: [15:00:00 30/09/2016] id: Gentamycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 0.7 rs: Final st: NotStopd
t0: [20:00:00 30/09/2016] id: Cuff Pressure-Airway el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 30/09/2016] id: Rec. Breath Pressure el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 30/09/2016] id: Rec.Breath Time(sec) el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 30/09/2016] id: Recruit Breath el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 30/09/2016] id: Auto-PEEP Level el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 30/09/2016] id: Total PEEP Level el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 30/09/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 30/09/2016] id: SaO2 ABG's el: 0 cu: MICU cg: -1 st: D/C'd
t0: [20:00:00 30/09/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [20:00:00 30/09/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [20:00:00 30/09/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [20:00:00 30/09/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 30/09/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 30/09/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 30/09/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:00:00 30/09/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 30/09/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 30/09/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 30/09/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 8 st: NotStopd t0: [20:00:00 30/09/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 30/09/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [20:00:00 30/09/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [20:00:00 30/09/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 30/09/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 30/09/2016] id: Peak Flow el: 0 cu: MICU cg: RRT u1: L/m st: NotStopd t0: [20:00:00 30/09/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [20:00:00 30/09/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 30/09/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:00:00 30/09/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 30/09/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 30/09/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 30/09/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 30/09/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [20:00:00 30/09/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 30/09/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 30/09/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 30/09/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [19:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [19:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [19:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [19:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [19:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 30/09/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [19:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [19:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 106 u1: BPM st: NotStopd t0: [20:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [20:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [20:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [20:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 30/09/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [20:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [20:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [21:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 109 u1: BPM st: NotStopd t0: [21:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [21:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [21:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 30/09/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [21:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [21:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [21:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [22:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [22:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 130 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [22:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [22:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 30/09/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [22:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [22:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 300 vu: ml t0: [21:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [21:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [21:00:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 4 vu: ml t0: [21:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [21:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [22:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [22:00:00 30/09/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [22:00:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 4 vu: ml t0: [22:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [22:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [22:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 320 vu: ml
t0: [19:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 30/09/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [19:00:00 30/09/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [20:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 30/09/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [20:00:00 30/09/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [21:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 30/09/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [21:00:00 30/09/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [22:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 30/09/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [22:00:00 30/09/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 30/09/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [21:00:00 30/09/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.4444 u1: Deg. C st: NotStopd t0: [21:00:00 30/09/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 101.2 u1: Deg. F st: NotStopd
t0: [00:00:00 01/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [00:00:00 01/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 16 t0: [00:00:00 01/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [00:00:00 01/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 01/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 01/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 01/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5.0 st: NotStopd t0: [00:00:00 01/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [00:00:00 01/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 01/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 01/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 01/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 01/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 01/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10.9 u1: cmH2O st: NotStopd t0: [00:00:00 01/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [00:00:00 01/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 01/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 01/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [00:00:00 01/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 01/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [00:00:00 01/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [00:00:00 01/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 01/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 01/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 492 u1: ml/B st: NotStopd t0: [00:00:00 01/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 01/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 01/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 01/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 99 rs: Manual st: NotStopd t0: [22:00:00 30/09/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 91 rs: Manual st: NotStopd t0: [23:00:00 30/09/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 30/09/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 30/09/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 30/09/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 30/09/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [23:00:00 30/09/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [23:00:00 30/09/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 121 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [23:00:00 30/09/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [23:00:00 30/09/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 30/09/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [23:00:00 30/09/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [23:00:00 30/09/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [23:00:00 30/09/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [00:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [00:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [00:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [00:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 89 rs: Manual st: NotStopd
t0: [23:00:00 30/09/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 30/09/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [23:00:00 30/09/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [23:00:00 30/09/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 4 vu: ml t0: [23:00:00 30/09/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [23:00:00 30/09/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [23:00:00 30/09/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 200 vu: ml t0: [00:00:00 01/10/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [00:00:00 01/10/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [00:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 4 vu: ml t0: [00:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [00:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [00:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 140 vu: ml
t0: [23:00:00 30/09/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 30/09/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [23:00:00 30/09/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [00:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 01/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [00:00:00 01/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 01/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 140 cv: 140 ap: none t0: [23:00:00 01/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: 56 cv: 56 ap: none t0: [23:00:00 01/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 111 cv: 2252 ap: none t0: [23:00:00 01/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 196 cv: 5542 ap: none t0: [23:00:00 01/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 pv: 85 cv: 1700 ap: none t0: [23:00:00 01/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 140 cv: 3090 ap: none t0: [23:00:00 01/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: 56 cv: 2452 ap: none t0: [23:00:00 01/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 140 cv: 3090 ap: none t0: [23:00:00 01/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: 56 cv: 3146.07 ap: carryForward
t0: [04:00:00 01/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [04:00:00 01/10/2016] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 142.857 u1: units st: NotStopd t0: [04:00:00 01/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [04:00:00 01/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [04:00:00 01/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 01/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 01/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 01/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:00:00 01/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 01/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 01/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 01/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 01/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 01/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:00:00 01/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14.5 u1: L/min st: NotStopd t0: [04:00:00 01/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 01/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 01/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [04:00:00 01/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 01/10/2016] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 142.857 u1: units st: NotStopd t0: [04:00:00 01/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [04:00:00 01/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [04:00:00 01/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 01/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:00:00 01/10/2016] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [04:00:00 01/10/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.189 u1: L st: NotStopd t0: [04:00:00 01/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 01/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 01/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 523 u1: ml/B st: NotStopd t0: [04:00:00 01/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 01/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 01/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 01/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 30/09/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [20:00:00 30/09/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 30/09/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Both Legs v2: 2 mm st: NotStopd t0: [20:00:00 30/09/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [20:00:00 30/09/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [20:00:00 30/09/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [20:00:00 30/09/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 30/09/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 30/09/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: -1 v1: 8 v2: 15 st: NotStopd t0: [20:00:00 30/09/2016] id: GU Catheter Size el: 0 cu: MICU cg: -1 v1: 20 French st: NotStopd t0: [20:00:00 30/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [20:00:00 30/09/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 30/09/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 30/09/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 13 st: NotStopd t0: [20:00:00 30/09/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 30/09/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 30/09/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 30/09/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 5 st: NotStopd t0: [20:00:00 30/09/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 30/09/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [20:00:00 30/09/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 30/09/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 30/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 30/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 30/09/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [20:00:00 30/09/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 30/09/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [20:00:00 30/09/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [20:00:00 30/09/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [20:00:00 30/09/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 30/09/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 30/09/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 30/09/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 30/09/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 30/09/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 30/09/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 30/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 30/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [20:00:00 30/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [20:00:00 30/09/2016] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 30/09/2016] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 30/09/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 30/09/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 30/09/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 30/09/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 30/09/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 30/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 30/09/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 30/09/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [20:00:00 30/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: Big Boy Bed st: NotStopd t0: [20:00:00 30/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [20:00:00 30/09/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 30/09/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 30/09/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 30/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 30/09/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 30/09/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [23:00:00 30/09/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [23:00:00 30/09/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [23:00:00 30/09/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [23:00:00 30/09/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 30/09/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [23:00:00 30/09/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [23:00:00 30/09/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [23:00:00 30/09/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 30/09/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 30/09/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [23:00:00 30/09/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [00:00:00 01/10/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 01/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 01/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Both Legs v2: 2 mm st: NotStopd t0: [00:00:00 01/10/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [00:00:00 01/10/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [00:00:00 01/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 01/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 01/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: -1 v1: 8 v2: 15 st: NotStopd t0: [00:00:00 01/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: -1 v1: 20 French st: NotStopd t0: [00:00:00 01/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 01/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 01/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 13 st: NotStopd t0: [00:00:00 01/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 01/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 01/10/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 01/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 5 st: NotStopd t0: [00:00:00 01/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 01/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [00:00:00 01/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 01/10/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 01/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [00:00:00 01/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 01/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [00:00:00 01/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [00:00:00 01/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [00:00:00 01/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 01/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 01/10/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 01/10/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 01/10/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 01/10/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 01/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 01/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 01/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 01/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 01/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 01/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 01/10/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 01/10/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 01/10/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 01/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 01/10/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 01/10/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 01/10/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 01/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [01:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [01:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [01:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [01:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [01:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [01:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [01:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [01:00:00 01/10/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [01:00:00 01/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.2222 u1: Deg. C st: NotStopd t0: [01:00:00 01/10/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 100.8 u1: Deg. F st: NotStopd t0: [01:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 01/10/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [02:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 103 u1: BPM st: NotStopd t0: [02:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [02:00:00 01/10/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 01/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 01/10/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [02:00:00 01/10/2016] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 01/10/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [02:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 01/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [02:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [02:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [02:00:00 01/10/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [02:00:00 01/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 01/10/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [02:00:00 01/10/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [03:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [03:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [03:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [03:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [03:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [03:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 01/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [04:00:00 01/10/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 01/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Both Legs v2: 2 mm st: NotStopd t0: [04:00:00 01/10/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [04:00:00 01/10/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [04:00:00 01/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 01/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 01/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: -1 v1: 8 v2: 15 st: NotStopd t0: [04:00:00 01/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: -1 v1: 20 French st: NotStopd t0: [04:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [04:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [04:00:00 01/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 01/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 01/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 13 st: NotStopd t0: [04:00:00 01/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 01/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 01/10/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 01/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 5 st: NotStopd t0: [04:00:00 01/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 01/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [04:00:00 01/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 01/10/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 01/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [04:00:00 01/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 01/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [04:00:00 01/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [04:00:00 01/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [04:00:00 01/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 01/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 01/10/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 01/10/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 01/10/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 01/10/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [04:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [04:00:00 01/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 01/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 01/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 01/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 01/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [04:00:00 01/10/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 01/10/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 01/10/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 01/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 01/10/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 01/10/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1 No Response st: NotStopd t0: [04:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 01/10/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 01/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [05:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 01/10/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [05:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [05:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [05:00:00 01/10/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [05:00:00 01/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [05:00:00 01/10/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 130 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [05:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [05:00:00 01/10/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [05:00:00 01/10/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [05:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 01/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [05:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [05:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [05:00:00 01/10/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [05:00:00 01/10/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [05:00:00 01/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.2778 u1: Deg. C st: NotStopd t0: [05:00:00 01/10/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 100.9 u1: Deg. F st: NotStopd t0: [05:00:00 01/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: Big Boy Bed st: NotStopd t0: [05:00:00 01/10/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [05:00:00 01/10/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 01/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 150 vu: ml t0: [01:00:00 01/10/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [01:00:00 01/10/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [01:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 4 vu: ml t0: [01:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [01:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [01:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 150 vu: ml t0: [02:00:00 01/10/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [02:00:00 01/10/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [02:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 4 vu: ml t0: [02:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [02:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [02:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 170 vu: ml t0: [03:00:00 01/10/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [03:00:00 01/10/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [03:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 4 vu: ml t0: [03:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [03:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [03:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 110 vu: ml t0: [04:00:00 01/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 50 vu: ml t0: [04:00:00 01/10/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [04:00:00 01/10/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [04:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 4 vu: ml t0: [04:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [04:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [04:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 100 vu: ml t0: [05:00:00 01/10/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [05:00:00 01/10/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [05:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 4 vu: ml t0: [05:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [05:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [05:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 190 vu: ml
t0: [01:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 01/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [01:00:00 01/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 01/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [02:00:00 01/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [03:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 01/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [03:00:00 01/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [04:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 01/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [04:00:00 01/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 01/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [05:00:00 01/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [06:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [06:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [06:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [06:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [06:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [06:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [06:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [07:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [07:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [07:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [07:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [07:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [07:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 01/10/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [06:00:00 01/10/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [06:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 4 vu: ml t0: [06:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [06:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [06:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 200 vu: ml t0: [07:00:00 01/10/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [07:00:00 01/10/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 vu: ml t0: [07:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 4 vu: ml t0: [07:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [07:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [07:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 100 vu: ml
t0: [06:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 01/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [06:00:00 01/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [07:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 01/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [07:00:00 01/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:10:00 01/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.9 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 10.9 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 27.3 u1: % rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 7.9 u1: gm/dl rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 351 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.46 u1: /mic l rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.9 rs: Final st: NotStopd
t0: [08:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 01/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 01/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 01/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 01/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 2 mm st: NotStopd t0: [08:00:00 01/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 01/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 01/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 01/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 01/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 01/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 01/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 01/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [08:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 01/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 01/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 01/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 01/10/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [08:00:00 01/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 01/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/10/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 01/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 01/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 01/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 01/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 01/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 01/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 01/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 01/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 01/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 01/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 01/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [08:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 01/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [08:00:00 01/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 01/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 01/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 01/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 01/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 01/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 01/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 01/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 01/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.7222 u1: Deg. C st: NotStopd t0: [08:00:00 01/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.7 u1: Deg. F st: NotStopd t0: [08:00:00 01/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [08:00:00 01/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 01/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 01/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 01/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 01/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 109 rs: Manual st: NotStopd t0: [08:00:00 01/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 01/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 01/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 01/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 01/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 01/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 01/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 9 u1: number st: NotStopd t0: [08:00:00 01/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 01/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [08:00:00 01/10/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [08:00:00 01/10/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [08:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [08:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 0 vu: ml t0: [08:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [08:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [08:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 01/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [08:00:00 01/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 01/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [08:00:00 01/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [08:00:00 01/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [08:00:00 01/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 01/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 01/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [08:00:00 01/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 01/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 01/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:00:00 01/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [08:00:00 01/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 01/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 01/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.6 u1: L/min st: NotStopd t0: [08:00:00 01/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 01/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 01/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [08:00:00 01/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [08:00:00 01/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:00:00 01/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [08:00:00 01/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 01/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 01/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 01/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 01/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 01/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 01/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [06:10:00 01/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 58 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 116 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 149 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 58 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 116 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 149 rs: Final st: NotStopd
t0: [08:00:00 01/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [08:00:00 01/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 90 vu: ml
t0: [06:10:00 01/10/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 5.6 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 16.1 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [06:10:00 01/10/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 74.4 rs: Final st: NotStopd
t0: [09:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 01/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 01/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [09:00:00 01/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 01/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [09:00:00 01/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN st: NotStopd t0: [09:00:00 01/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 01/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [09:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [09:00:00 01/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [09:00:00 01/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [09:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 01/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [09:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 01/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 01/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [09:00:00 01/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 01/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 01/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: done t0: [09:00:00 01/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 99 rs: Manual st: NotStopd
t0: [09:00:00 01/10/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [09:00:00 01/10/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [09:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [09:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [09:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [08:30:00 01/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [09:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 01/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [09:00:00 01/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 01/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 01/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd
t0: [08:00:00 01/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 01/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd
t0: [10:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 01/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [10:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [10:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [10:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [10:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 01/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 113 rs: Manual st: NotStopd
t0: [10:00:00 01/10/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [10:00:00 01/10/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [10:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [10:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [10:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [10:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 01/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [10:00:00 01/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 01/10/2016] id: water bolus Free Form Intake el: 1 cu: MICU cg: RN vo: 500 vu: ml
t0: [11:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 01/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [11:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [11:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [11:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 01/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 110 rs: Manual st: NotStopd
io: D5W IV Infusions el: 3 cu: MICU cg: RN ra: 100 ru: ml/hr
t0: [11:00:00 01/10/2016] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 105 vo: 0 st: D/C'd t0: [11:00:00 01/10/2016] id: D5W 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [11:00:00 01/10/2016] id: water bolus Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 st: D/C'd t0: [11:00:00 01/10/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [11:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [11:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 0 vu: ml nb: 1 t0: [11:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [11:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [11:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 01/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [11:00:00 01/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
id: D5W el: 3 cu: MICU cg: RN io: D5W IV Infusions du: ml rt: Intravenous Push
t0: [11:00:00 01/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: RN ai: 168 vo: 0 vu: ml nb: 1
t0: [12:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 01/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [12:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [12:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [12:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 01/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 01/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 01/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 01/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3889 u1: Deg. C st: NotStopd t0: [12:00:00 01/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.1 u1: Deg. F st: NotStopd t0: [12:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 01/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 108 rs: Manual st: NotStopd
t0: [12:00:00 01/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [12:00:00 01/10/2016] tf: [15:58:00 24/10/2016] dt: 33358 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [12:00:00 01/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: RN ai: 168 vo: 100 vu: ml t0: [12:00:00 01/10/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [12:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [12:00:00 01/10/2016] tf: [10:30:00 03/10/2016] dt: 2790 id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [12:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [12:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [12:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 01/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [12:00:00 01/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 01/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [13:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [13:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [13:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 01/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 01/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [14:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 01/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 01/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [14:00:00 01/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 01/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [14:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 01/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 01/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [14:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 01/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [14:00:00 01/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 01/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [14:00:00 01/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: RN ai: 168 vo: 200 vu: ml t0: [14:00:00 01/10/2016] tf: [16:00:00 01/10/2016] dt: 120 id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: RN vo: 500 vu: ml t0: [14:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [14:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [14:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [14:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [13:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 01/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [13:00:00 01/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [14:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 01/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [14:00:00 01/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 01/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 25cm v2: Lip st: NotStopd t0: [14:00:00 01/10/2016] id: ETT Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [14:00:00 01/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: None st: NotStopd t0: [14:00:00 01/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 148 rs: Manual st: NotStopd
t0: [11:30:00 01/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [11:30:00 01/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [11:30:00 01/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [11:30:00 01/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [11:30:00 01/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [11:30:00 01/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [11:30:00 01/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [11:30:00 01/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [11:30:00 01/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [11:30:00 01/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [11:30:00 01/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [11:30:00 01/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.2 u1: L/min st: NotStopd t0: [11:30:00 01/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:30:00 01/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [11:30:00 01/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [11:30:00 01/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [11:30:00 01/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [11:30:00 01/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [11:30:00 01/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [11:30:00 01/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:30:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [11:30:00 01/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [11:30:00 01/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [11:30:00 01/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [11:30:00 01/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [11:30:00 01/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd t0: [15:00:00 01/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [15:00:00 01/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [15:00:00 01/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [15:00:00 01/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:00:00 01/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [15:00:00 01/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [15:00:00 01/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 01/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [15:00:00 01/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [15:00:00 01/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [15:00:00 01/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [15:00:00 01/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.3 u1: L/min st: NotStopd t0: [15:00:00 01/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [15:00:00 01/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [15:00:00 01/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [15:00:00 01/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [15:00:00 01/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:00:00 01/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [15:00:00 01/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:00:00 01/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [15:00:00 01/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 01/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [15:00:00 01/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 505 u1: ml/B st: NotStopd t0: [15:00:00 01/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [15:00:00 01/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [15:00:00 01/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [15:00:00 01/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 01/10/2016] id: D5/.45NS IV Infusions el: 1 cu: MICU cg: -1 ai: 112 vo: 0 st: D/C'd t0: [16:00:00 01/10/2016] id: H20 BOLUS VIA NG Free Form Intake el: 1 cu: MICU cg: -1 vo: 0 st: D/C'd
t0: [15:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 01/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [15:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [15:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [15:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [15:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [15:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 01/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 01/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 01/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 01/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 2 mm st: NotStopd t0: [16:00:00 01/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 01/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [16:00:00 01/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 01/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 01/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 01/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 01/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 01/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [16:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [16:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 01/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 01/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 01/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 01/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 01/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 01/10/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 01/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [16:00:00 01/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 01/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 01/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 01/10/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 01/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 01/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 01/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 01/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 01/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 01/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 01/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 01/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 01/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 01/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 01/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [16:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [16:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 01/10/2016] id: Previous Weight el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [16:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [16:00:00 01/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 01/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 01/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [16:00:00 01/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 01/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 01/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 01/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 01/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [16:00:00 01/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 01/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 01/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [16:00:00 01/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.5 u1: Deg. F st: NotStopd t0: [16:00:00 01/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 01/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 01/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 01/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 01/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 138 rs: Manual st: NotStopd t0: [16:00:00 01/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [16:00:00 01/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 01/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [16:00:00 01/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 01/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [16:00:00 01/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 01/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 9 u1: number st: NotStopd t0: [16:00:00 01/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 01/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 150 vu: ml t0: [16:00:00 01/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [16:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [16:00:00 01/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: RN ai: 168 vo: 200 vu: ml t0: [16:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 8 vu: ml t0: [16:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [16:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [16:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [15:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 01/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [15:00:00 01/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [16:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 01/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [16:00:00 01/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
id: Free Water Bolus el: 1 cu: MICU cg: RN io: Free Water Bolus PO/Gastric du: ml rt: Nasogastric
t0: [17:30:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:30:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 01/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:30:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [17:30:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [17:30:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [17:30:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:30:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.8 u1: kg st: NotStopd t0: [17:30:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:30:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:30:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 01/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 135 rs: Manual st: NotStopd
t0: [17:30:00 01/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [17:30:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 3 vu: ml t0: [17:30:00 01/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [17:30:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 9 vu: ml t0: [17:30:00 01/10/2016] tf: [16:00:00 09/10/2016] dt: 11430 id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 500 vu: ml t0: [17:30:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 127.5 vu: ml t0: [17:30:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1.5 vu: ml t0: [17:30:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [17:30:00 01/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:30:00 01/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [17:30:00 01/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 01/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 590 ap: none
t0: [18:00:00 01/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [18:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [18:00:00 01/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [18:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [18:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 42.5 vu: ml t0: [18:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml
t0: [18:00:00 01/10/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd
t0: [18:19:00 01/10/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [18:19:00 01/10/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [18:19:00 01/10/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [18:19:00 01/10/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [18:19:00 01/10/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 111 u1: mmHg rs: Final st: NotStopd t0: [18:19:00 01/10/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [18:19:00 01/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd t0: [18:19:00 01/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [17:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 01/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [17:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [17:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [17:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [17:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [17:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [17:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 01/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [18:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 103 u1: BPM st: NotStopd t0: [18:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [18:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [18:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 01/10/2016] id: Previous Weight el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [18:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [18:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [18:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [19:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 01/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [19:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [19:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [19:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [19:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 01/10/2016] id: Previous Weight el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [19:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [19:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [19:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 01/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 106 u1: BPM st: NotStopd t0: [20:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [20:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [20:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 01/10/2016] id: Previous Weight el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [20:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [20:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [20:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 01/10/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 01/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.3889 u1: Deg. C st: NotStopd t0: [20:00:00 01/10/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 101.1 u1: Deg. F st: NotStopd t0: [20:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [19:00:00 01/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: -1 ai: 168 vo: 100 vu: ml t0: [19:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 8 vu: ml t0: [19:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [19:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [19:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 200 vu: ml t0: [20:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [20:00:00 01/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: -1 ai: 168 vo: 100 vu: ml t0: [20:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 8 vu: ml t0: [20:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [20:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [20:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 140 vu: ml
t0: [17:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 01/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [17:00:00 01/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [18:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 01/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [18:00:00 01/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip t0: [19:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 01/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [19:00:00 01/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip t0: [20:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 01/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [20:00:00 01/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:45:00 01/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [20:45:00 01/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [20:45:00 01/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [20:45:00 01/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:45:00 01/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:45:00 01/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:45:00 01/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [20:45:00 01/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:45:00 01/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:45:00 01/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:45:00 01/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:45:00 01/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [20:45:00 01/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:45:00 01/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.3 u1: L/min st: NotStopd t0: [20:45:00 01/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:45:00 01/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 10 st: NotStopd t0: [20:45:00 01/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [20:45:00 01/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [20:45:00 01/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:45:00 01/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:45:00 01/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:45:00 01/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:45:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:45:00 01/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 459 u1: ml/B st: NotStopd t0: [20:45:00 01/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:45:00 01/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [20:45:00 01/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:45:00 01/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 01/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 121 rs: Manual st: NotStopd
t0: [21:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 01/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [21:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [21:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [21:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [21:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [21:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [21:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 01/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [22:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [22:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [22:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [22:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [22:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [22:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [21:00:00 01/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: -1 ai: 168 vo: 100 vu: ml t0: [21:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 8 vu: ml t0: [21:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [21:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [21:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 110 vu: ml t0: [22:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [22:00:00 01/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: -1 ai: 168 vo: 100 vu: ml t0: [22:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 8 vu: ml t0: [22:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [22:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [22:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 90 vu: ml
t0: [21:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 01/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [21:00:00 01/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip t0: [22:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 01/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [22:00:00 01/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 01/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 01/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 01/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 01/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 01/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 01/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [23:00:00 01/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [23:00:00 01/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [23:00:00 01/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [23:00:00 01/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 01/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [23:00:00 01/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [23:00:00 01/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [23:00:00 01/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 01/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [23:00:00 01/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: -1 ai: 168 vo: 100 vu: ml t0: [23:00:00 01/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 8 vu: ml t0: [23:00:00 01/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [23:00:00 01/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [23:00:00 01/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 140 vu: ml
t0: [23:00:00 01/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 01/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [23:00:00 01/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 02/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 124 rs: Manual st: NotStopd
t0: [01:15:00 02/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [01:15:00 02/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RT v1: 20 t0: [01:15:00 02/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RT v1: 25cm v2: Lip st: NotStopd t0: [01:15:00 02/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RT v1: 0.4 u1: torr st: NotStopd t0: [01:15:00 02/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RT v1: 35 u1: cmH2O st: NotStopd t0: [01:15:00 02/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RT v1: 10 u1: BPM st: NotStopd t0: [01:15:00 02/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RT v1: 1:5 st: NotStopd t0: [01:15:00 02/10/2016] id: Airway Size el: 0 cu: MICU cg: RT v1: 8.5 mm st: NotStopd t0: [01:15:00 02/10/2016] id: Airway Type el: 0 cu: MICU cg: RT v1: Endotracheal st: NotStopd t0: [01:15:00 02/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RT v1: 35 u1: Deg. C st: NotStopd t0: [01:15:00 02/10/2016] id: Intubation Date el: 0 cu: MICU cg: RT v1: 7 v2: 23 st: NotStopd t0: [01:15:00 02/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RT v1: 4 st: NotStopd t0: [01:15:00 02/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RT v1: 6 v2: Combivent st: NotStopd t0: [01:15:00 02/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RT v1: 16 u1: cmH2O st: NotStopd t0: [01:15:00 02/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RT v1: 14.8 u1: L/min st: NotStopd t0: [01:15:00 02/10/2016] id: PEEP Set el: 0 cu: MICU cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [01:15:00 02/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RT v1: 20 st: NotStopd t0: [01:15:00 02/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RT v1: 24 u1: cmH2O st: NotStopd t0: [01:15:00 02/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RT v1: 22 u1: cmH2O st: NotStopd t0: [01:15:00 02/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RT v1: 20 u1: BPM st: NotStopd t0: [01:15:00 02/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RT v1: 30 u1: BPM st: NotStopd t0: [01:15:00 02/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RT v1: 10 u1: BPM st: NotStopd t0: [01:15:00 02/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [01:15:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: RT v1: 100 u1: % st: NotStopd t0: [01:15:00 02/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RT v1: Yellow v2: Thick st: NotStopd t0: [01:15:00 02/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RT v1: Suctioned v2: Copious st: NotStopd t0: [01:15:00 02/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RT v1: 522 u1: ml/B st: NotStopd t0: [01:15:00 02/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RT v1: 500 u1: ml/B st: NotStopd t0: [01:15:00 02/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RT v1: Assist Control st: NotStopd t0: [01:15:00 02/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RT v1: Drager st: NotStopd t0: [01:15:00 02/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RT v1: RAMP st: NotStopd
t0: [00:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [00:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [00:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [00:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 02/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [00:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [00:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 02/10/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 02/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.3333 u1: Deg. C st: NotStopd t0: [00:00:00 02/10/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 101 u1: Deg. F st: NotStopd t0: [00:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [01:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [01:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [01:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [01:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 02/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [01:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [01:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [02:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 106 u1: BPM st: NotStopd t0: [02:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [02:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [02:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 02/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [02:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [02:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 01/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [00:00:00 02/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [00:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [00:00:00 02/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: -1 ai: 168 vo: 100 vu: ml t0: [00:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 8 vu: ml t0: [00:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [00:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [00:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 130 vu: ml t0: [01:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [01:00:00 02/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: -1 ai: 168 vo: 100 vu: ml t0: [01:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 8 vu: ml t0: [01:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [01:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [01:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 100 vu: ml t0: [02:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [02:00:00 02/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: -1 ai: 168 vo: 100 vu: ml t0: [02:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 8 vu: ml t0: [02:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [02:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [02:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 100 vu: ml
t0: [00:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 02/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [00:00:00 02/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip t0: [01:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 02/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [01:00:00 02/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 02/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [02:00:00 02/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 02/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 93 rs: Manual st: NotStopd
t0: [03:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 106 u1: BPM st: NotStopd t0: [03:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [03:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 121 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [03:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 02/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [03:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [03:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [03:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [03:00:00 02/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: -1 ai: 168 vo: 100 vu: ml t0: [03:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 8 vu: ml t0: [03:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [03:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [03:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 160 vu: ml
t0: [03:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 02/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [03:00:00 02/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 02/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 84 rs: Manual st: NotStopd
t0: [04:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: CoWker vo: 220 vu: ml
t0: [20:00:00 01/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [20:00:00 01/10/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 01/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Both Legs v2: 2 mm st: NotStopd t0: [20:00:00 01/10/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 01/10/2016] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [20:00:00 01/10/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 01/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 01/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 01/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 01/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: -1 v1: 8 v2: 15 st: NotStopd t0: [20:00:00 01/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: -1 v1: 20 French st: NotStopd t0: [20:00:00 01/10/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [20:00:00 01/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 01/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 01/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 13 st: NotStopd t0: [20:00:00 01/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 01/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 01/10/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 01/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 5 st: NotStopd t0: [20:00:00 01/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 01/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [20:00:00 01/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 01/10/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 01/10/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 01/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 01/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [20:00:00 01/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 01/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [20:00:00 01/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [20:00:00 01/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [20:00:00 01/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 01/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 01/10/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 01/10/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 01/10/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 01/10/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Thrush st: NotStopd t0: [20:00:00 01/10/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 01/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 01/10/2016] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 01/10/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [20:00:00 01/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [20:00:00 01/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 01/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 01/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 01/10/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 01/10/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 01/10/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 01/10/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 01/10/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [20:00:00 01/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: Big Boy Bed st: NotStopd t0: [20:00:00 01/10/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 01/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 01/10/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 01/10/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 01/10/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 01/10/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 01/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [20:00:00 01/10/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 01/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Problem st: NotStopd t0: [20:00:00 01/10/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Comp. Immobile st: NotStopd t0: [20:00:00 01/10/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Moist st: NotStopd t0: [20:00:00 01/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 01/10/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 9 u1: number st: NotStopd t0: [20:00:00 01/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [23:00:00 01/10/2016] id: Eye Care el: 0 cu: MICU cg: -1 v1: Not Done st: NotStopd t0: [23:00:00 01/10/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [23:00:00 01/10/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [23:00:00 01/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [23:00:00 01/10/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 01/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 01/10/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [23:00:00 01/10/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [23:00:00 01/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [23:00:00 01/10/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 01/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: Big Boy Bed st: NotStopd t0: [23:00:00 01/10/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [23:00:00 01/10/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 02/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [00:00:00 02/10/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 02/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Both Legs v2: 2 mm st: NotStopd t0: [00:00:00 02/10/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 02/10/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 02/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 02/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 02/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 02/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: -1 v1: 8 v2: 15 st: NotStopd t0: [00:00:00 02/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: -1 v1: 20 French st: NotStopd t0: [00:00:00 02/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 02/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 02/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 13 st: NotStopd t0: [00:00:00 02/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 02/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 02/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 5 st: NotStopd t0: [00:00:00 02/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 02/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [00:00:00 02/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 02/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [00:00:00 02/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 02/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [00:00:00 02/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [00:00:00 02/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [00:00:00 02/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 02/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 02/10/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 02/10/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 02/10/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Thrush st: NotStopd t0: [00:00:00 02/10/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 02/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 02/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 02/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 02/10/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 02/10/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 02/10/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 02/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 02/10/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 02/10/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 02/10/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 02/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [00:00:00 02/10/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 02/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Problem st: NotStopd t0: [00:00:00 02/10/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Comp. Immobile st: NotStopd t0: [00:00:00 02/10/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Moist st: NotStopd t0: [00:00:00 02/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [00:00:00 02/10/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 9 u1: number st: NotStopd t0: [00:00:00 02/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [02:00:00 02/10/2016] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 02/10/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [02:00:00 02/10/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 02/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 02/10/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 02/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 02/10/2016] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 02/10/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [02:00:00 02/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [02:00:00 02/10/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 02/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: Big Boy Bed st: NotStopd t0: [02:00:00 02/10/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 02/10/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 02/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [04:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 02/10/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 02/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Both Legs v2: 2 mm st: NotStopd t0: [04:00:00 02/10/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 02/10/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 02/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 02/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 02/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding st: NotStopd t0: [04:00:00 02/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: -1 v1: 8 v2: 15 st: NotStopd t0: [04:00:00 02/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: -1 v1: 20 French st: NotStopd t0: [04:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [04:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [04:00:00 02/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [04:00:00 02/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [04:00:00 02/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 02/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [04:00:00 02/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [04:00:00 02/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [04:00:00 02/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 02/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 02/10/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 02/10/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 02/10/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Thrush st: NotStopd t0: [04:00:00 02/10/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [04:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 02/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [04:00:00 02/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 02/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 02/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [04:00:00 02/10/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 02/10/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 02/10/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 02/10/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 02/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.2222 u1: Deg. C st: NotStopd t0: [04:00:00 02/10/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 100.8 u1: Deg. F st: NotStopd t0: [04:00:00 02/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 02/10/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 02/10/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 02/10/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 02/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [04:00:00 02/10/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 02/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Problem st: NotStopd t0: [04:00:00 02/10/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Comp. Immobile st: NotStopd t0: [04:00:00 02/10/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Moist st: NotStopd t0: [04:00:00 02/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [04:00:00 02/10/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 9 u1: number st: NotStopd t0: [04:00:00 02/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [05:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 02/10/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [05:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [05:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [05:00:00 02/10/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [05:00:00 02/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [05:00:00 02/10/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 02/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [05:00:00 02/10/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [05:00:00 02/10/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [05:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 02/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [05:00:00 02/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [05:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [05:00:00 02/10/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [05:00:00 02/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: Big Boy Bed st: NotStopd t0: [05:00:00 02/10/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [05:00:00 02/10/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 02/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [04:00:00 02/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 50 vu: ml t0: [04:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [04:00:00 02/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: -1 ai: 168 vo: 100 vu: ml t0: [04:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 5 vu: ml t0: [04:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [04:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [05:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [05:00:00 02/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: -1 ai: 168 vo: 100 vu: ml t0: [05:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 5 vu: ml t0: [05:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [05:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [05:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 90 vu: ml
t0: [04:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 02/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [04:00:00 02/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 02/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [05:44:00 02/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RT v1: 50 u1: ml/cmH st: NotStopd t0: [05:44:00 02/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RT v1: PEEP >10 st: NotStopd t0: [05:44:00 02/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RT v1: 20 t0: [05:44:00 02/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RT v1: 25cm v2: Lip st: NotStopd t0: [05:44:00 02/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RT v1: 0.4 u1: torr st: NotStopd t0: [05:44:00 02/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RT v1: 35 u1: cmH2O st: NotStopd t0: [05:44:00 02/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RT v1: 10 u1: BPM st: NotStopd t0: [05:44:00 02/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RT v1: 1:5 st: NotStopd t0: [05:44:00 02/10/2016] id: Airway Size el: 0 cu: MICU cg: RT v1: 8.5 mm st: NotStopd t0: [05:44:00 02/10/2016] id: Airway Type el: 0 cu: MICU cg: RT v1: Endotracheal st: NotStopd t0: [05:44:00 02/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RT v1: 34 u1: Deg. C st: NotStopd t0: [05:44:00 02/10/2016] id: Intubation Date el: 0 cu: MICU cg: RT v1: 7 v2: 23 st: NotStopd t0: [05:44:00 02/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RT v1: 4 st: NotStopd t0: [05:44:00 02/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RT v1: 6 v2: Combivent st: NotStopd t0: [05:44:00 02/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RT v1: 16 u1: cmH2O st: NotStopd t0: [05:44:00 02/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RT v1: 12.1 u1: L/min st: NotStopd t0: [05:44:00 02/10/2016] id: PEEP Set el: 0 cu: MICU cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [05:44:00 02/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RT v1: 20 st: NotStopd t0: [05:44:00 02/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RT v1: 20 u1: cmH2O st: NotStopd t0: [05:44:00 02/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RT v1: 15 u1: BPM st: NotStopd t0: [05:44:00 02/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RT v1: 25 u1: BPM st: NotStopd t0: [05:44:00 02/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RT v1: 10 u1: BPM st: NotStopd t0: [05:44:00 02/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [05:44:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: RT v1: 100 u1: % st: NotStopd t0: [05:44:00 02/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RT v1: Yellow v2: Thick st: NotStopd t0: [05:44:00 02/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RT v1: Suctioned v2: Small st: NotStopd t0: [05:44:00 02/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RT v1: 487 u1: ml/B st: NotStopd t0: [05:44:00 02/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RT v1: 500 u1: ml/B st: NotStopd t0: [05:44:00 02/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RT v1: Assist Control st: NotStopd t0: [05:44:00 02/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RT v1: Drager st: NotStopd t0: [05:44:00 02/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RT v1: RAMP st: NotStopd
t0: [05:00:00 02/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 48 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 110 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 116 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.6 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 145 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 48 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] 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 02/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 110 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 116 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.6 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 145 rs: Final st: NotStopd
t0: [05:00:00 02/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.7 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 12.7 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 26.5 u1: % rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 7.8 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 320 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.33 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.7 rs: Final st: NotStopd
t0: [06:00:00 02/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 94 rs: Manual st: NotStopd
t0: [06:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [06:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 02/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [06:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [06:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [06:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [07:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [07:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [07:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 02/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.8 u1: kg st: NotStopd t0: [07:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [07:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [06:00:00 02/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: -1 ai: 168 vo: 100 vu: ml t0: [06:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 5 vu: ml t0: [06:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [06:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [06:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 140 vu: ml t0: [07:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [07:00:00 02/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: -1 ai: 168 vo: 100 vu: ml t0: [07:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 5 vu: ml t0: [07:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [07:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml
t0: [05:00:00 02/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 02/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [06:00:00 02/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [07:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 02/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [07:00:00 02/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 02/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 02/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [08:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 02/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 02/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [08:00:00 02/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 02/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 2 mm st: NotStopd t0: [08:00:00 02/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 02/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 02/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 02/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 02/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 02/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 02/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 02/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [08:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 02/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 02/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 02/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 02/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [08:00:00 02/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 02/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 02/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 02/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 02/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 02/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 02/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 02/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 02/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 02/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 02/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 02/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 02/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 02/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 02/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 02/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 02/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 02/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [08:00:00 02/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 02/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 02/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 02/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 02/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 02/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 02/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 02/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 02/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Clear v2: Thin st: NotStopd t0: [08:00:00 02/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 02/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 02/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 02/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.7222 u1: Deg. C st: NotStopd t0: [08:00:00 02/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.7 u1: Deg. F st: NotStopd t0: [08:00:00 02/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [08:00:00 02/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 02/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 02/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 02/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 02/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 02/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 98 rs: Manual st: NotStopd t0: [08:00:00 02/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 02/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 02/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 02/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 02/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 02/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 02/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 9 u1: number st: NotStopd t0: [08:00:00 02/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 02/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [08:00:00 02/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [08:00:00 02/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [08:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [08:00:00 02/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: RN ai: 168 vo: 100 vu: ml t0: [08:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 5 vu: ml t0: [08:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [08:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [08:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [08:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 02/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [08:00:00 02/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:30:00 02/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 62.5 u1: ml/cmH st: NotStopd t0: [08:30:00 02/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [08:30:00 02/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [08:30:00 02/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:30:00 02/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:30:00 02/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:30:00 02/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [08:30:00 02/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:30:00 02/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:30:00 02/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:30:00 02/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [08:30:00 02/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [08:30:00 02/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [08:30:00 02/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:30:00 02/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:30:00 02/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [08:30:00 02/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:30:00 02/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [08:30:00 02/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:30:00 02/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:30:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [08:30:00 02/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [08:30:00 02/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:30:00 02/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:30:00 02/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:30:00 02/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:30:00 02/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:30:00 02/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [09:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [09:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [09:00:00 02/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [09:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 02/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 02/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [09:00:00 02/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: RN ai: 168 vo: 100 vu: ml t0: [09:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 5 vu: ml t0: [09:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [09:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [09:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [09:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 02/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [09:00:00 02/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 02/10/2016] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 5.1 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 14.7 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [05:00:00 02/10/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 76 rs: Final st: NotStopd
t0: [10:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [10:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [10:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [10:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 02/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [10:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [10:00:00 02/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: RN ai: 168 vo: 100 vu: ml t0: [10:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 5 vu: ml t0: [10:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [10:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [10:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [10:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 02/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [10:00:00 02/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 02/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 113 rs: Manual st: NotStopd
t0: [12:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 02/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to RN st: NotStopd t0: [12:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [12:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 02/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [12:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [12:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [12:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 02/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 02/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [12:00:00 02/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [12:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 128 rs: Manual st: NotStopd
t0: [12:00:00 02/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [12:00:00 02/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [12:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [12:00:00 02/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: RN ai: 168 vo: 200 vu: ml t0: [12:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 10 vu: ml t0: [12:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [12:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [12:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [12:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 02/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 02/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 120 ap: none
t0: [12:00:00 02/10/2016] id: Insulin el: 1 cu: MICU cg: RRT so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 02/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [12:00:00 02/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [12:00:00 02/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [12:00:00 02/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 02/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 02/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 02/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [12:00:00 02/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 02/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 3 u1: Deg. C st: NotStopd t0: [12:00:00 02/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [12:00:00 02/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [12:00:00 02/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [12:00:00 02/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.6 u1: L/min st: NotStopd t0: [12:00:00 02/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 02/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 02/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [12:00:00 02/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [12:00:00 02/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:00:00 02/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [12:00:00 02/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 02/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 02/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 02/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 02/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 02/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 02/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 02/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 02/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd
t0: [14:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 02/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [14:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 02/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 02/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [14:00:00 02/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [14:00:00 02/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 02/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 02/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 02/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [14:00:00 02/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 02/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 02/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 125 rs: Manual st: NotStopd
t0: [14:00:00 02/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [14:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [14:00:00 02/10/2016] id: D5W IV Infusions el: 3 cu: MICU cg: RN ai: 168 vo: 200 vu: ml t0: [14:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 12 vu: ml t0: [14:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [14:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [14:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [14:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 02/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [14:00:00 02/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 02/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 25cm v2: Lip st: NotStopd t0: [14:00:00 02/10/2016] id: ETT Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 02/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3889 u1: Deg. C st: NotStopd t0: [14:00:00 02/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.1 u1: Deg. F st: NotStopd
t0: [15:00:00 02/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [15:00:00 02/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [15:00:00 02/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [15:00:00 02/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:00:00 02/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [15:00:00 02/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:00:00 02/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [15:00:00 02/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 02/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 3 u1: Deg. C st: NotStopd t0: [15:00:00 02/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [15:00:00 02/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [15:00:00 02/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [15:00:00 02/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.6 u1: L/min st: NotStopd t0: [15:00:00 02/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [15:00:00 02/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [15:00:00 02/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [15:00:00 02/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [15:00:00 02/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:00:00 02/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [15:00:00 02/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [15:00:00 02/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 02/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [15:00:00 02/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [15:00:00 02/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [15:00:00 02/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [15:00:00 02/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [15:00:00 02/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 02/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 02/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 02/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 02/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 02/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 2 mm st: NotStopd t0: [16:00:00 02/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 02/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to RN st: NotStopd t0: [16:00:00 02/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 02/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 02/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 02/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 02/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 02/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [16:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [16:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 02/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 02/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 02/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 02/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 02/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 02/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [16:00:00 02/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 02/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 02/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 02/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 02/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 02/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 02/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 02/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 02/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 02/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 02/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 02/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 02/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 02/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [16:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 02/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 02/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 02/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 02/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 02/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 02/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 02/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 02/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 02/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 02/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 02/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 02/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 02/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [16:00:00 02/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [16:00:00 02/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 02/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 02/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 02/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 02/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 88 rs: Manual st: NotStopd t0: [16:00:00 02/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [16:00:00 02/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 02/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [16:00:00 02/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 02/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [16:00:00 02/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 02/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 9 u1: number st: NotStopd t0: [16:00:00 02/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 02/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [16:00:00 02/10/2016] tf: [12:00:00 06/10/2016] dt: 5520 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [16:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 12 vu: ml t0: [16:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [16:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [16:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [16:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 02/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [16:00:00 02/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [18:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [18:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [18:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 02/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 108 rs: Manual st: NotStopd
t0: [18:00:00 02/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [18:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 10 vu: ml t0: [18:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [18:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [18:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [18:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 02/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [18:00:00 02/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 02/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml
t0: [20:45:00 02/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [20:45:00 02/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [20:45:00 02/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [20:45:00 02/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:45:00 02/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:45:00 02/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:45:00 02/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [20:45:00 02/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:45:00 02/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:45:00 02/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:45:00 02/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:45:00 02/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [20:45:00 02/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:45:00 02/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [20:45:00 02/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14.8 u1: L/min st: NotStopd t0: [20:45:00 02/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:45:00 02/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:45:00 02/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [20:45:00 02/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [20:45:00 02/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [20:45:00 02/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:45:00 02/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [20:45:00 02/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:45:00 02/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:45:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:45:00 02/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [20:45:00 02/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:45:00 02/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 508 u1: ml/B st: NotStopd t0: [20:45:00 02/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:45:00 02/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [20:45:00 02/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:45:00 02/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:45:00 02/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
tf: [20:00:00 02/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Chlorothiazide v1: 125 u1: mg tf: [20:00:00 03/10/2016] pt: IV Piggyback rt: PB fr: 1X dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml tf: [20:00:00 03/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Furosemide v1: 40 u1: mg
t0: [22:45:00 02/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [22:45:00 02/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [19:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [19:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [19:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [19:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [19:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [19:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [19:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 111 u1: BPM st: NotStopd t0: [20:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [20:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [20:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [20:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [20:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [20:00:00 02/10/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 02/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.5 u1: Deg. C st: NotStopd t0: [20:00:00 02/10/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 101.3 u1: Deg. F st: NotStopd t0: [20:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [21:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 110 u1: BPM st: NotStopd t0: [21:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [21:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 108 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [21:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [21:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 110 u1: BPM st: NotStopd t0: [22:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [22:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [22:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [22:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [22:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [22:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 02/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 02/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 02/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 02/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 02/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 02/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [23:00:00 02/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [23:00:00 02/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [23:00:00 02/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [23:00:00 02/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 02/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [23:00:00 02/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 02/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 02/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [19:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 5 vu: ml t0: [19:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [19:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [19:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 160 vu: ml t0: [20:00:00 02/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [20:00:00 02/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [20:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 5 vu: ml t0: [20:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [20:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [20:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 180 vu: ml t0: [21:00:00 02/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [21:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 5 vu: ml t0: [21:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [21:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [21:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 110 vu: ml t0: [22:00:00 02/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [22:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 5 vu: ml t0: [22:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [22:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [22:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 130 vu: ml t0: [23:00:00 02/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 02/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [23:00:00 02/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 5 vu: ml t0: [23:00:00 02/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [23:00:00 02/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [23:00:00 02/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 210 vu: ml
t0: [19:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 02/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [19:00:00 02/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [20:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 02/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [20:00:00 02/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [21:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 02/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [21:00:00 02/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [22:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 02/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [22:00:00 02/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:00:00 02/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 02/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [23:00:00 02/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 02/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 210 cv: 210 ap: none t0: [23:00:00 02/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: -107 cv: -107 ap: none t0: [23:00:00 02/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 18 cv: 2598 ap: none t0: [23:00:00 02/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 103 cv: 4758 ap: none t0: [23:00:00 02/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 pv: 85 cv: 2040 ap: none t0: [23:00:00 02/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 210 cv: 3130 ap: none t0: [23:00:00 02/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: -107 cv: 1628 ap: none t0: [23:00:00 02/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 210 cv: 3130 ap: none t0: [23:00:00 02/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: -107 cv: 4774.07 ap: carryForward
t0: [00:00:00 03/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 100 rs: Manual st: NotStopd
t0: [00:15:00 03/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [00:15:00 03/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [00:15:00 03/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [00:15:00 03/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:15:00 03/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:15:00 03/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:15:00 03/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [00:15:00 03/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [00:15:00 03/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:15:00 03/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:15:00 03/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:15:00 03/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [00:15:00 03/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:15:00 03/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [00:15:00 03/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.3 u1: L/min st: NotStopd t0: [00:15:00 03/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:15:00 03/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:15:00 03/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [00:15:00 03/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [00:15:00 03/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [00:15:00 03/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [00:15:00 03/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [00:15:00 03/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:15:00 03/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:15:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:15:00 03/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 482 u1: ml/B st: NotStopd t0: [00:15:00 03/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:15:00 03/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [00:15:00 03/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:15:00 03/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:15:00 03/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [03:00:00 03/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 113 rs: Manual st: NotStopd
t0: [00:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [00:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [00:00:00 03/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [00:00:00 03/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [00:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [00:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [00:00:00 03/10/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 03/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.2778 u1: Deg. C st: NotStopd t0: [00:00:00 03/10/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 100.9 u1: Deg. F st: NotStopd t0: [00:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 110 u1: BPM st: NotStopd t0: [01:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [01:00:00 03/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 107 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [01:00:00 03/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [01:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [01:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [01:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [02:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 111 u1: BPM st: NotStopd t0: [02:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [02:00:00 03/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [02:00:00 03/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [02:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [02:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [02:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [03:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [03:00:00 03/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [03:00:00 03/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [03:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [03:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [03:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 03/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [00:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [00:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 2 vu: ml t0: [00:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [00:00:00 03/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 500 vu: ml t0: [01:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [01:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 2 vu: ml t0: [01:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [01:00:00 03/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 680 vu: ml t0: [02:00:00 03/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 50 vu: ml t0: [02:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [02:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 2 vu: ml t0: [02:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [02:00:00 03/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 480 vu: ml t0: [03:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [03:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 2 vu: ml t0: [03:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [03:00:00 03/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 290 vu: ml
t0: [00:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 03/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [01:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 03/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [02:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 03/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [03:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 03/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [20:00:00 02/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [20:00:00 02/10/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 02/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 02/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Both Legs v2: 2 mm st: NotStopd t0: [20:00:00 02/10/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 02/10/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 02/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 02/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 02/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 02/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: -1 v1: 8 v2: 15 st: NotStopd t0: [20:00:00 02/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: -1 v1: 20 French st: NotStopd t0: [20:00:00 02/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 02/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 02/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 13 st: NotStopd t0: [20:00:00 02/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 02/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 02/10/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 02/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 5 st: NotStopd t0: [20:00:00 02/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 02/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [20:00:00 02/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 02/10/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 02/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [20:00:00 02/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 02/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [20:00:00 02/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [20:00:00 02/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [20:00:00 02/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 02/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 02/10/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 02/10/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 02/10/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Thrush st: NotStopd t0: [20:00:00 02/10/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 02/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 02/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 02/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 02/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 02/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 02/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 02/10/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 02/10/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 02/10/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 02/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 02/10/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 02/10/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 02/10/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 02/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [20:00:00 02/10/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 02/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Problem st: NotStopd t0: [20:00:00 02/10/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Comp. Immobile st: NotStopd t0: [20:00:00 02/10/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Moist st: NotStopd t0: [20:00:00 02/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 02/10/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 9 u1: number st: NotStopd t0: [20:00:00 02/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [21:00:00 02/10/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [21:00:00 02/10/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [21:00:00 02/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [21:00:00 02/10/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [21:00:00 02/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 02/10/2016] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [21:00:00 02/10/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [21:00:00 02/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [21:00:00 02/10/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [21:00:00 02/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: Big Boy Bed st: NotStopd t0: [21:00:00 02/10/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [21:00:00 02/10/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 03/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [00:00:00 03/10/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 03/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 03/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Both Legs v2: 2 mm st: NotStopd t0: [00:00:00 03/10/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 03/10/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 03/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 03/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 03/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Clamped st: NotStopd t0: [00:00:00 03/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: -1 v1: 8 v2: 15 st: NotStopd t0: [00:00:00 03/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: -1 v1: 20 French st: NotStopd t0: [00:00:00 03/10/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 03/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 03/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 03/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 13 st: NotStopd t0: [00:00:00 03/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 03/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 03/10/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 03/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 5 st: NotStopd t0: [00:00:00 03/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 03/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [00:00:00 03/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 03/10/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 03/10/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 03/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 03/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [00:00:00 03/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 03/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [00:00:00 03/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [00:00:00 03/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [00:00:00 03/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 03/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 03/10/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 03/10/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 03/10/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 03/10/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Thrush st: NotStopd t0: [00:00:00 03/10/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 03/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 03/10/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 03/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 03/10/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 03/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [00:00:00 03/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 03/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 03/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 03/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 03/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 03/10/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 03/10/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 03/10/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 03/10/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 03/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: Big Boy Bed st: NotStopd t0: [00:00:00 03/10/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 03/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 03/10/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 03/10/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 03/10/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 03/10/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 03/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [00:00:00 03/10/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 03/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Problem st: NotStopd t0: [00:00:00 03/10/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Comp. Immobile st: NotStopd t0: [00:00:00 03/10/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Moist st: NotStopd t0: [00:00:00 03/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [00:00:00 03/10/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 9 u1: number st: NotStopd t0: [00:00:00 03/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [03:00:00 03/10/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [03:00:00 03/10/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [03:00:00 03/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [03:00:00 03/10/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [03:00:00 03/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 03/10/2016] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [03:00:00 03/10/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [03:00:00 03/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [03:00:00 03/10/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [03:00:00 03/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: Big Boy Bed st: NotStopd t0: [03:00:00 03/10/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [03:00:00 03/10/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 03/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [04:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 03/10/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 03/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 03/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Both Legs v2: 2 mm st: NotStopd t0: [04:00:00 03/10/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 03/10/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 03/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 03/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 03/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Clamped st: NotStopd t0: [04:00:00 03/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: -1 v1: 8 v2: 15 st: NotStopd t0: [04:00:00 03/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: -1 v1: 20 French st: NotStopd t0: [04:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 111 u1: BPM st: NotStopd t0: [04:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [04:00:00 03/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 03/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 03/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 13 st: NotStopd t0: [04:00:00 03/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 03/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 03/10/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 03/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 5 st: NotStopd t0: [04:00:00 03/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 03/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [04:00:00 03/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 03/10/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 03/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [04:00:00 03/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 03/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [04:00:00 03/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [04:00:00 03/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [04:00:00 03/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 03/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 03/10/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 03/10/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 03/10/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Thrush st: NotStopd t0: [04:00:00 03/10/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 03/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [04:00:00 03/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 03/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 03/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 03/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 03/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 03/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 03/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [04:00:00 03/10/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 03/10/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 03/10/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [04:00:00 03/10/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 03/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.3889 u1: Deg. C st: NotStopd t0: [04:00:00 03/10/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 101.1 u1: Deg. F st: NotStopd t0: [04:00:00 03/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 03/10/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 03/10/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 03/10/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 03/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [04:00:00 03/10/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 03/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Problem st: NotStopd t0: [04:00:00 03/10/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Comp. Immobile st: NotStopd t0: [04:00:00 03/10/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Moist st: NotStopd t0: [04:00:00 03/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [04:00:00 03/10/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 9 u1: number st: NotStopd t0: [04:00:00 03/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd
t0: [04:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [04:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 2 vu: ml t0: [04:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [04:00:00 03/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 140 vu: ml
t0: [00:00:00 03/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [01:00:00 03/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 03/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [03:00:00 03/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [04:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 03/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [04:00:00 03/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:45:00 03/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [04:45:00 03/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: Exempt per MD st: NotStopd t0: [04:45:00 03/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [04:45:00 03/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [04:45:00 03/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:45:00 03/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:45:00 03/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:45:00 03/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [04:45:00 03/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:45:00 03/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:45:00 03/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:45:00 03/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:45:00 03/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:45:00 03/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:45:00 03/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:45:00 03/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.9 u1: L/min st: NotStopd t0: [04:45:00 03/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:45:00 03/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:45:00 03/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [04:45:00 03/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [04:45:00 03/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [04:45:00 03/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [04:45:00 03/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [04:45:00 03/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:45:00 03/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:45:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 95 u1: % st: NotStopd t0: [04:45:00 03/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:45:00 03/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:45:00 03/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:45:00 03/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:45:00 03/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [04:45:00 03/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:45:00 03/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:45:00 03/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 03/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 113 rs: Manual st: NotStopd
t0: [05:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 111 u1: BPM st: NotStopd t0: [05:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [05:00:00 03/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [05:00:00 03/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [05:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [05:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [05:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 109 u1: BPM st: NotStopd t0: [06:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [06:00:00 03/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 03/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [06:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [06:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [06:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 03/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [05:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [05:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 2 vu: ml t0: [05:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [05:00:00 03/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 160 vu: ml t0: [06:00:00 03/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 50 vu: ml t0: [06:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [06:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 2 vu: ml t0: [06:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml
t0: [05:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 03/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [05:00:00 03/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 03/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [06:00:00 03/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 03/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 03/10/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 st: D/C'd
t0: [08:00:00 03/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [08:00:00 03/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: Exempt per MD st: NotStopd t0: [08:00:00 03/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [08:00:00 03/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [08:00:00 03/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 03/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 03/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 03/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [08:00:00 03/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [08:00:00 03/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 03/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.7 u1: Deg. C st: NotStopd t0: [08:00:00 03/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:00:00 03/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 03/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 03/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 03/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [08:00:00 03/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 03/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 03/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [08:00:00 03/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [08:00:00 03/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [08:00:00 03/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [08:00:00 03/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:00:00 03/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 03/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [08:00:00 03/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 03/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 03/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 487 u1: ml/B st: NotStopd t0: [08:00:00 03/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 03/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [08:00:00 03/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 03/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 03/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 03/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 03/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 2 mm st: NotStopd t0: [08:00:00 03/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 03/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 03/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 03/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 03/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 03/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 03/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 03/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [08:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 03/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 03/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 13 st: NotStopd t0: [08:00:00 03/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 03/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [08:00:00 03/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 03/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 03/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 03/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 03/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 03/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 03/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 03/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 03/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 03/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 03/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 03/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 03/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 03/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 03/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [08:00:00 03/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [08:00:00 03/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 03/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 03/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 03/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 03/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 03/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 03/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 03/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 03/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 03/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 03/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.8333 u1: Deg. C st: NotStopd t0: [08:00:00 03/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.9 u1: Deg. F st: NotStopd t0: [08:00:00 03/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [08:00:00 03/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 03/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 03/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 03/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 03/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 03/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 03/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 03/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 03/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 03/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 03/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 03/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 9 u1: number st: NotStopd t0: [08:00:00 03/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 03/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [08:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [08:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [08:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [08:00:00 03/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 1500 vu: ml
t0: [08:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 03/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [08:00:00 03/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:50:00 03/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.6 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 13.6 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 28.2 u1: % rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.2 u1: gm/dl rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 348 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.54 u1: /mic l rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13.6 rs: Final st: NotStopd
t0: [05:50:00 03/10/2016] id: PT el: 0 cu: MICU cg: 1663 v1: 14.1 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 26.9 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14.1 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 26.9 rs: Final st: NotStopd
t0: [05:50:00 03/10/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 4.5 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 13.2 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 79.5 rs: Final st: NotStopd
t0: [05:50:00 03/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 48 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 108 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 110 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 147 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 48 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 108 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 110 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [05:50:00 03/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 147 rs: Final st: NotStopd
t0: [10:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [10:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 03/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 03/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [10:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 03/10/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Culture/remarks st: NotStopd t0: [10:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 25 vu: ml t0: [10:30:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [10:30:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 5 vu: ml t0: [10:30:00 03/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 0 vu: ml nb: 1 t0: [10:30:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2.5 vu: ml t0: [10:30:00 03/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [10:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 03/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [10:00:00 03/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 03/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [12:00:00 03/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: Exempt per MD st: NotStopd t0: [12:00:00 03/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [12:00:00 03/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [12:00:00 03/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 03/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 03/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:00:00 03/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [12:00:00 03/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [12:00:00 03/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 03/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [12:00:00 03/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [12:00:00 03/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 03/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 03/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:00:00 03/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.5 u1: L/min st: NotStopd t0: [12:00:00 03/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 03/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 03/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [12:00:00 03/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [12:00:00 03/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [12:00:00 03/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [12:00:00 03/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 03/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [12:00:00 03/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 483 u1: ml/B st: NotStopd t0: [12:00:00 03/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 03/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [12:00:00 03/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 03/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [10:00:00 03/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [10:00:00 03/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [12:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 03/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 03/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [12:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [12:00:00 03/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 03/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.8333 u1: Deg. C st: NotStopd t0: [12:00:00 03/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.9 u1: Deg. F st: NotStopd t0: [12:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 03/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [11:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 03/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [11:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 1 vu: ml t0: [11:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [11:00:00 03/10/2016] tf: [16:00:00 04/10/2016] dt: 1740 id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 42.5 vu: ml t0: [11:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [12:00:00 03/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [12:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 03/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [12:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [12:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [12:00:00 03/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [12:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [12:00:00 03/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [12:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 03/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [12:00:00 03/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 03/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 100 ap: none
t0: [12:00:00 03/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 138 rs: Manual st: NotStopd
t0: [12:30:00 03/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:30:00 03/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 130 rs: Manual st: NotStopd t0: [14:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [14:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 03/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 03/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [14:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [14:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 5.5 vu: ml t0: [14:00:00 03/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [14:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [14:00:00 03/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [14:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 03/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [14:00:00 03/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 03/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [14:00:00 03/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.3 u1: Deg. F st: NotStopd
t0: [15:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [15:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 03/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 03/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [15:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [15:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 03/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 136 rs: Manual st: NotStopd
t0: [15:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 03/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [15:00:00 03/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 03/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 03/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [13:00:00 03/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [14:00:00 03/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [15:00:00 03/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 03/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 03/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 03/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 2 mm st: NotStopd t0: [16:00:00 03/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 03/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 03/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 03/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [16:00:00 03/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 03/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [16:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [16:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 03/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 03/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 13 st: NotStopd t0: [16:00:00 03/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 03/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [16:00:00 03/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 03/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 03/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 03/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 03/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 03/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 03/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 03/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:00:00 03/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [16:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 03/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 03/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 03/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:00:00 03/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 03/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 03/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 03/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.8333 u1: Deg. C st: NotStopd t0: [16:00:00 03/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.9 u1: Deg. F st: NotStopd t0: [16:00:00 03/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 03/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 03/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 03/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [16:00:00 03/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 03/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [16:00:00 03/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 03/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [16:00:00 03/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 03/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 9 u1: number st: NotStopd t0: [16:00:00 03/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [15:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [15:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3.5 vu: ml t0: [15:00:00 03/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [15:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [16:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [16:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4.5 vu: ml t0: [16:00:00 03/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [16:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [16:00:00 03/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 210 vu: ml
t0: [16:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 03/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [16:00:00 03/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 03/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [16:00:00 03/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: Exempt per MD st: NotStopd t0: [16:00:00 03/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [16:00:00 03/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [16:00:00 03/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 03/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 03/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:00:00 03/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [16:00:00 03/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [16:00:00 03/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 03/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [16:00:00 03/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:00:00 03/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 03/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 03/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [16:00:00 03/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [16:00:00 03/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 03/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 03/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [16:00:00 03/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [16:00:00 03/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 03/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [16:00:00 03/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 03/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 03/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [16:00:00 03/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 03/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 481 u1: ml/B st: NotStopd t0: [16:00:00 03/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 03/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CMV st: NotStopd t0: [16:00:00 03/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 03/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 03/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 03/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 03/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 03/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [18:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [18:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 03/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [18:00:00 03/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 41 u1: mmHg st: NotStopd t0: [18:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 03/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 03/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [18:00:00 03/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [18:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 03/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 150 vu: ml t0: [18:00:00 03/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [18:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [18:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 9 vu: ml t0: [18:00:00 03/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [18:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [18:00:00 03/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [18:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 03/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [18:00:00 03/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:30:00 03/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 144 rs: Manual st: NotStopd
t0: [18:30:00 03/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 03/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [19:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [19:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 03/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [19:00:00 03/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 48.6667 u1: mmHg st: NotStopd t0: [19:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [19:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [19:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 5.25 vu: ml t0: [19:00:00 03/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [19:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [19:00:00 03/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [19:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 03/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [19:00:00 03/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 03/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 139 rs: Manual st: NotStopd
t0: [19:50:00 03/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [19:50:00 03/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [19:50:00 03/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [19:50:00 03/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [19:50:00 03/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [19:50:00 03/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [19:50:00 03/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [19:50:00 03/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [19:50:00 03/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [19:50:00 03/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [19:50:00 03/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [19:50:00 03/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [19:50:00 03/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [19:50:00 03/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [19:50:00 03/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.5 u1: L/min st: NotStopd t0: [19:50:00 03/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [19:50:00 03/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [19:50:00 03/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [19:50:00 03/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [19:50:00 03/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [19:50:00 03/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [19:50:00 03/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [19:50:00 03/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [19:50:00 03/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [19:50:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [19:50:00 03/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [19:50:00 03/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [19:50:00 03/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 486 u1: ml/B st: NotStopd t0: [19:50:00 03/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [19:50:00 03/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [19:50:00 03/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [19:50:00 03/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [19:50:00 03/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 03/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 03/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 2 mm st: NotStopd t0: [20:00:00 03/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 03/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 03/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 03/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 03/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 03/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [20:00:00 03/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [20:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 03/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 03/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 13 st: NotStopd t0: [20:00:00 03/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 03/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [20:00:00 03/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 03/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 03/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 03/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 03/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 03/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 03/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 03/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 03/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 03/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 03/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [20:00:00 03/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 50.3333 u1: mmHg st: NotStopd t0: [20:00:00 03/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 03/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 03/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 03/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 03/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 03/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 03/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 03/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 03/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [20:00:00 03/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 03/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 03/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 03/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 03/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 03/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [20:00:00 03/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [20:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [20:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [20:00:00 03/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [20:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml
t0: [20:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 03/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [20:00:00 03/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 03/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [21:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 03/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [21:00:00 03/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [21:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 03/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [21:00:00 03/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.8333 u1: Deg. C st: NotStopd t0: [21:00:00 03/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.9 u1: Deg. F st: NotStopd t0: [21:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 03/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml t0: [21:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [21:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [21:00:00 03/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [21:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [21:00:00 03/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [21:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 03/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [21:00:00 03/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 03/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 140 rs: Manual st: NotStopd
t0: [22:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [22:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 03/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [22:00:00 03/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 53.3333 u1: mmHg st: NotStopd t0: [22:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [22:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [22:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [22:00:00 03/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [22:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [22:00:00 03/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [22:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 03/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [22:00:00 03/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 03/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [22:00:00 03/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6667 u1: Deg. C st: NotStopd t0: [22:00:00 03/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.6 u1: Deg. F st: NotStopd
t0: [23:00:00 03/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 03/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 03/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [23:00:00 03/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 03/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [23:00:00 03/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 03/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 03/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [23:00:00 03/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [23:00:00 03/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [23:00:00 03/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [23:00:00 03/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [23:00:00 03/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [23:00:00 03/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 03/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [23:00:00 03/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 03/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [23:00:00 03/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 13 st: NotStopd t0: [23:00:00 03/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 03/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [23:00:00 03/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [23:00:00 03/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 03/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [23:00:00 03/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [23:00:00 03/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 03/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 03/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 03/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [23:00:00 03/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [23:00:00 03/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [23:00:00 03/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [23:00:00 03/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [23:00:00 03/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 03/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 03/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [23:00:00 03/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 03/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 03/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [23:00:00 03/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [23:00:00 03/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 03/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [23:00:00 03/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [23:00:00 03/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [23:00:00 03/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 03/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [23:00:00 03/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 03/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [23:00:00 03/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 03/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [23:00:00 03/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [23:00:00 03/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [23:00:00 03/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml
t0: [23:00:00 03/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 03/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [23:00:00 03/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 03/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 20 cv: 1290.75 ap: none t0: [23:00:00 03/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 105 cv: 2453.25 ap: none t0: [23:00:00 03/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 85 cv: 1062.5 ap: none
t0: [00:00:00 04/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 111 rs: Manual st: NotStopd
t0: [00:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 04/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [00:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [00:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [00:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [00:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 03/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml t0: [00:00:00 04/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [00:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [00:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [00:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [00:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [00:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 03/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 110 cv: 110 ap: none t0: [23:00:00 03/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -5 cv: -5 ap: none t0: [23:00:00 03/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 110 cv: 5440 ap: none t0: [23:00:00 03/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -5 cv: -2986.75 ap: none t0: [23:00:00 03/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 110 cv: 5440 ap: none t0: [23:00:00 03/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -5 cv: 1787.32 ap: carryForward
t0: [00:00:00 04/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 04/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [00:00:00 04/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.3 u1: Deg. F st: NotStopd
t0: [01:00:00 04/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [01:00:00 04/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [01:00:00 04/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [01:00:00 04/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:00:00 04/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [01:00:00 04/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [01:00:00 04/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [01:00:00 04/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [01:00:00 04/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 04/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [01:00:00 04/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [01:00:00 04/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [01:00:00 04/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:00:00 04/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [01:00:00 04/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14.6 u1: L/min st: NotStopd t0: [01:00:00 04/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 04/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [01:00:00 04/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [01:00:00 04/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [01:00:00 04/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [01:00:00 04/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [01:00:00 04/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [01:00:00 04/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:00:00 04/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [01:00:00 04/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [01:00:00 04/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [01:00:00 04/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [01:00:00 04/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [01:00:00 04/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [01:00:00 04/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 04/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [01:00:00 04/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [01:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [01:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 56.6667 u1: mmHg st: NotStopd t0: [01:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [01:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [01:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [01:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [01:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [01:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [01:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [01:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 04/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 122 rs: Manual st: NotStopd
t0: [02:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [02:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [02:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62.6667 u1: mmHg st: NotStopd t0: [02:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [02:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [02:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [02:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [02:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [02:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [11:00:00 04/10/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 3, 11, 19 dn: 3 m1: Piperacillin-Tazobactam Na v1: 4.5 u1: gm m2: Iso-Osmotic Dextrose v2: 100 u2: ml
t0: [03:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 04/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [03:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [03:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [03:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 56.6667 u1: mmHg st: NotStopd t0: [03:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [03:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [03:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [03:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [03:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [03:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [03:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [03:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:15:00 04/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [04:15:00 04/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: Exempt per MD st: NotStopd t0: [04:15:00 04/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [04:15:00 04/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [04:15:00 04/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:15:00 04/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:15:00 04/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:15:00 04/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [04:15:00 04/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:15:00 04/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:15:00 04/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:15:00 04/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:15:00 04/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:15:00 04/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:15:00 04/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:15:00 04/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.5 u1: L/min st: NotStopd t0: [04:15:00 04/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:15:00 04/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [04:15:00 04/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [04:15:00 04/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [04:15:00 04/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [04:15:00 04/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [04:15:00 04/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:15:00 04/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:15:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:15:00 04/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:15:00 04/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:15:00 04/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [04:15:00 04/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:15:00 04/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:15:00 04/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:15:00 04/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 04/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 126 rs: Manual st: NotStopd
t0: [04:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [04:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [04:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 55.6667 u1: mmHg st: NotStopd t0: [04:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [04:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [04:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [04:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [04:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [05:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [05:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [05:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [05:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [05:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [04:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [04:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 04/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [02:00:00 04/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [04:00:00 04/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 04/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.7778 u1: Deg. C st: NotStopd t0: [04:00:00 04/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.8 u1: Deg. F st: NotStopd
t0: [05:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [05:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [05:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 60.6667 u1: mmHg st: NotStopd t0: [05:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [05:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 04/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.7 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 12.7 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 28.9 u1: % rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.5 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 325 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.56 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.7 rs: Final st: NotStopd
t0: [06:00:00 04/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 118 rs: Manual st: NotStopd
t0: [05:00:00 04/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 46 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 99 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 46 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] 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 04/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 99 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] 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 04/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd
t0: [05:00:00 04/10/2016] id: PT el: 0 cu: MICU cg: 1663 v1: 14.3 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 27.9 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14.3 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 27.9 rs: Final st: NotStopd
t0: [05:00:00 04/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 151 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 151 rs: Final st: NotStopd
t0: [00:00:00 04/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 2 mm st: NotStopd t0: [00:00:00 04/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 04/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 04/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 04/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 04/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 04/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 04/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [00:00:00 04/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [00:00:00 04/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [00:00:00 04/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 04/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 04/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd t0: [03:00:00 04/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [03:00:00 04/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [03:00:00 04/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [03:00:00 04/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [03:00:00 04/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [03:00:00 04/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [03:00:00 04/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [03:00:00 04/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [03:00:00 04/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [03:00:00 04/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 13 st: NotStopd t0: [03:00:00 04/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [03:00:00 04/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [03:00:00 04/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [03:00:00 04/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [03:00:00 04/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 04/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 04/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [03:00:00 04/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [03:00:00 04/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 04/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 04/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 04/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 04/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [03:00:00 04/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [03:00:00 04/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 04/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 04/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [04:00:00 04/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 2 mm st: NotStopd t0: [04:00:00 04/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 04/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 04/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 04/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [04:00:00 04/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 04/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 04/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 04/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 04/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 04/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 04/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 04/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 04/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 04/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 04/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Big Boy Bed st: NotStopd t0: [04:00:00 04/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 04/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 04/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: done t0: [04:00:00 04/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [06:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 04/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 04/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [06:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 04/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [06:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 04/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [06:00:00 04/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [06:00:00 04/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [06:00:00 04/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [06:00:00 04/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [06:00:00 04/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [06:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [06:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 04/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [06:00:00 04/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 04/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 04/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 04/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [06:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [06:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 60.3333 u1: mmHg st: NotStopd t0: [06:00:00 04/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 04/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 04/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 04/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 04/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [06:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 04/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 04/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 04/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 04/10/2016] id: INV#1Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [07:00:00 04/10/2016] id: INV Line#1 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 18 st: NotStopd t0: [07:00:00 04/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [07:00:00 04/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 13 st: NotStopd t0: [07:00:00 04/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [07:00:00 04/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [07:00:00 04/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd
t0: [06:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [06:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [06:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [06:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [06:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [06:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [06:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:01:00 04/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [07:01:00 04/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 st: D/C'd
t0: [08:00:00 04/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [08:00:00 04/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: Exempt per MD st: NotStopd t0: [08:00:00 04/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [08:00:00 04/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [08:00:00 04/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 04/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 04/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 04/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [08:00:00 04/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [08:00:00 04/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 04/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [08:00:00 04/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:00:00 04/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 04/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 04/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 04/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.6 u1: L/min st: NotStopd t0: [08:00:00 04/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 04/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 04/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [08:00:00 04/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [08:00:00 04/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 04/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [08:00:00 04/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 04/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:00:00 04/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Clear v2: Thin st: NotStopd t0: [08:00:00 04/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 04/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 467 u1: ml/B st: NotStopd t0: [08:00:00 04/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 04/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 04/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 04/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 04/10/2016] id: INV#1Chg o/Wire Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 04/10/2016] id: INV Line#1 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 04/10/2016] id: INV Line#1 Site Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 04/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 04/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 04/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 st: D/C'd
t0: [08:00:00 04/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 04/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 04/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 04/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 04/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:00:00 04/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 04/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 4 u1: points st: NotStopd t0: [08:00:00 04/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 04/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 04/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 04/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [08:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 04/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 04/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [08:00:00 04/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 04/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 04/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 04/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 04/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 04/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 04/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 04/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [08:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [08:00:00 04/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 04/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 04/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 04/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 04/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 04/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 04/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [08:00:00 04/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 04/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 04/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 04/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 04/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 04/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.0556 u1: Deg. C st: NotStopd t0: [08:00:00 04/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.3 u1: Deg. F st: NotStopd t0: [08:00:00 04/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 04/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 04/10/2016] id: BSA - English el: 0 cu: MICU cg: RN v1: 1.88067 u1: m2 st: NotStopd t0: [08:00:00 04/10/2016] id: BSA - Metric el: 0 cu: MICU cg: RN v1: 2.17599 u1: m2 st: NotStopd t0: [08:00:00 04/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 04/10/2016] id: Daily Weight el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [08:00:00 04/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 04/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 04/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 04/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 04/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 04/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 04/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 04/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 04/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 04/10/2016] tf: [08:00:00 05/10/2016] dt: 1440 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [08:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 04/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [08:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [08:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 14 vu: ml t0: [08:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [08:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [08:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [08:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [08:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 04/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 143 rs: Manual st: NotStopd t0: [09:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [09:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [09:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [09:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 04/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [09:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [09:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [09:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [09:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [09:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [09:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [09:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [09:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 04/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: On st: NotStopd t0: [10:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 04/10/2016] id: ETT Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 04/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [10:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [10:00:00 04/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 04/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [10:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [10:00:00 04/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 04/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 04/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 04/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [10:00:00 04/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.8889 u1: Deg. C st: NotStopd t0: [10:00:00 04/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102 u1: Deg. F st: NotStopd t0: [10:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 04/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: done t0: [10:00:00 04/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 129 rs: Manual st: NotStopd
t0: [10:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [10:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 8 vu: ml t0: [10:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [10:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [10:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [10:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [10:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 9 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 04/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [11:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 04/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 04/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [11:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [11:00:00 04/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 04/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [11:00:00 04/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [11:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 04/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [11:00:00 04/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [11:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 04/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 04/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 04/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [11:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [11:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 9 vu: ml t0: [11:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [11:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [11:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [11:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [11:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 04/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [12:00:00 04/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: Exempt per MD st: NotStopd t0: [12:00:00 04/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [12:00:00 04/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [12:00:00 04/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 04/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 04/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:00:00 04/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [12:00:00 04/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [12:00:00 04/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 04/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.6 u1: Deg. C st: NotStopd t0: [12:00:00 04/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [12:00:00 04/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 04/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 04/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:00:00 04/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14.1 u1: L/min st: NotStopd t0: [12:00:00 04/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 04/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 04/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [12:00:00 04/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [12:00:00 04/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [12:00:00 04/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [12:00:00 04/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 04/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 04/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [12:00:00 04/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 04/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 523 u1: ml/B st: NotStopd t0: [12:00:00 04/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 04/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 04/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 04/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 04/10/2016] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 12.8 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [05:00:00 04/10/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 79.6 rs: Final st: NotStopd
t0: [12:00:00 04/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 04/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 04/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 04/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 04/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [12:00:00 04/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 04/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 04/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 4 u1: points st: NotStopd t0: [12:00:00 04/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 04/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 04/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 04/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [12:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [12:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 04/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 04/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd t0: [12:00:00 04/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 04/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 04/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 04/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 04/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 04/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 04/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 04/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [12:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [12:00:00 04/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 04/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 04/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 04/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 04/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [12:00:00 04/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 04/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 04/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [12:00:00 04/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 04/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 04/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 04/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 04/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 04/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [12:00:00 04/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [12:00:00 04/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [12:00:00 04/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 04/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 04/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 04/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 04/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 150 vu: ml t0: [12:00:00 04/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [12:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [12:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 10 vu: ml t0: [12:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [12:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [12:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml
t0: [12:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [12:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [18:00:00 04/10/2016] pt: IV Piggyback rt: IV fr: Q4H fs: 12, 16, 20, 0, 4, 8 dn: 6 m1: Ampicillin Sodium v1: 2 u1: gm m2: NS v2: 100 u2: ml tf: [19:00:00 04/10/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 12, 20, 4 dn: 3 m1: Metronidazole v1: 500 u1: mg m2: NS v2: 100 u2: ml tf: [15:00:00 15/10/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 12, 20, 4 dn: 3 m1: Ceftazidime v1: 2 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
t0: [11:00:00 04/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 122 rs: Manual st: NotStopd t0: [12:00:00 04/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 114 rs: Manual st: NotStopd t0: [13:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [13:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [13:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62.3333 u1: mmHg st: NotStopd t0: [13:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 04/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [13:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 04/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [13:00:00 04/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2778 u1: Deg. C st: NotStopd t0: [13:00:00 04/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.9 u1: Deg. F st: NotStopd t0: [13:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 04/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 99 rs: Manual st: NotStopd
t0: [13:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [13:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 11 vu: ml t0: [13:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [13:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [13:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml
t0: [13:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [13:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 04/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml
t0: [14:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [14:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [14:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [14:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 04/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [14:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [14:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 11 vu: ml t0: [14:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [14:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [14:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [14:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [14:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 04/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 04/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [14:00:00 04/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.5 u1: Deg. F st: NotStopd t0: [14:00:00 04/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 99 rs: Manual st: NotStopd
t0: [15:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [15:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [15:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [15:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 04/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [15:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [15:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [15:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 11 vu: ml t0: [15:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [15:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [15:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [15:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [15:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 04/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [16:00:00 04/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: Exempt per MD st: NotStopd t0: [16:00:00 04/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [16:00:00 04/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [16:00:00 04/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 04/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 04/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:00:00 04/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [16:00:00 04/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [16:00:00 04/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 04/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [16:00:00 04/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:00:00 04/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 04/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 04/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [16:00:00 04/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.1 u1: L/min st: NotStopd t0: [16:00:00 04/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 04/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 04/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [16:00:00 04/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [16:00:00 04/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [16:00:00 04/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [16:00:00 04/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 04/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [16:00:00 04/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 502 u1: ml/B st: NotStopd t0: [16:00:00 04/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 04/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 04/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 04/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 04/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 04/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [16:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [16:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [16:00:00 04/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 04/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [16:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 04/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 67 rs: Manual st: NotStopd
t0: [16:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [16:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 11 vu: ml t0: [16:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 0 vu: ml t0: [16:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [16:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [16:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [16:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 04/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 04/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [16:00:00 04/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd
t0: [16:00:00 04/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 04/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [16:00:00 04/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [17:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [17:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [17:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 61.6667 u1: mmHg st: NotStopd t0: [17:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 04/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [17:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [17:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 04/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 98 rs: Manual st: NotStopd
t0: [16:00:00 04/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [17:00:00 04/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [17:00:00 04/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [17:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [17:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [17:00:00 04/10/2016] tf: [00:30:00 08/10/2016] dt: 4770 id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [17:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [17:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [17:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [17:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 04/10/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd
t0: [18:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [18:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [18:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 53.6667 u1: mmHg st: NotStopd t0: [18:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 04/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [18:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [18:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 04/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 04/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [18:00:00 04/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [18:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 04/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 110 rs: Manual st: NotStopd
t0: [18:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [18:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [18:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [18:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [18:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [18:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [18:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 04/10/2016] id: INV Line#3 D/C Date el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [18:00:00 04/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 04/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 5 st: NotStopd
t0: [17:43:00 04/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 153 rs: Final st: NotStopd t0: [17:43:00 04/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 153 rs: Final st: NotStopd
t0: [19:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [19:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [19:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 53.3333 u1: mmHg st: NotStopd t0: [19:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 04/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [19:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [19:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 04/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 121 rs: Manual st: NotStopd
t0: [19:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [19:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [19:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [19:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [19:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [19:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [19:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 04/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 55.5556 u1: ml/cmH st: NotStopd t0: [20:00:00 04/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 20 t0: [20:00:00 04/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 25cm v2: Lip st: NotStopd t0: [20:00:00 04/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 04/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 04/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 04/10/2016] id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:3.0 st: NotStopd t0: [20:00:00 04/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 8.5 mm st: NotStopd t0: [20:00:00 04/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [20:00:00 04/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 34.4 u1: Deg. C st: NotStopd t0: [20:00:00 04/10/2016] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 04/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [20:00:00 04/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 04/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 16 u1: cmH2O st: NotStopd t0: [20:00:00 04/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 10.8 u1: L/min st: NotStopd t0: [20:00:00 04/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 04/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [20:00:00 04/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 19 u1: cmH2O st: NotStopd t0: [20:00:00 04/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 19 u1: cmH2O st: NotStopd t0: [20:00:00 04/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 13 u1: BPM st: NotStopd t0: [20:00:00 04/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 23 u1: BPM st: NotStopd t0: [20:00:00 04/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 04/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: CRT v1: 100 u1: % st: NotStopd t0: [20:00:00 04/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 466 u1: ml/B st: NotStopd t0: [20:00:00 04/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 04/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [20:00:00 04/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [20:00:00 04/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [20:00:00 04/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 04/10/2016] id: INV Line#3 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 04/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 04/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 04/10/2016] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 04/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 04/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 04/10/2016] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 st: D/C'd
tf: [10:00:00 05/10/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 20, 4, 12 dn: 3 m1: Meropenem v1: 1000 u1: mg m2: NS v2: 100 u2: ml
t0: [20:00:00 04/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 04/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 04/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: On st: NotStopd t0: [20:00:00 04/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 04/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 04/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [20:00:00 04/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 04/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 5 u1: points st: NotStopd t0: [20:00:00 04/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 04/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 04/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [20:00:00 04/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [20:00:00 04/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [20:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 04/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 04/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [20:00:00 04/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 04/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 04/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 04/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 04/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 04/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 04/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 04/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 04/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 04/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 04/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [20:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 58.3333 u1: mmHg st: NotStopd t0: [20:00:00 04/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 04/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 04/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 04/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 04/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt st: NotStopd t0: [20:00:00 04/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 04/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 04/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 04/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [20:00:00 04/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 04/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [20:00:00 04/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 04/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 04/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 04/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 04/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 04/10/2016] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd t0: [20:00:00 04/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 04/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 04/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 04/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [20:00:00 04/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [20:00:00 04/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 04/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 04/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 04/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 04/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 04/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 04/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 123 rs: Manual st: NotStopd t0: [20:00:00 04/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 04/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 04/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 04/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 04/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 04/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 04/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 04/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 04/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 500 vu: ml t0: [20:00:00 04/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [20:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [20:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [20:00:00 04/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 500 vu: ml t0: [20:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [20:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [20:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [20:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [20:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [21:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [21:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 57.6667 u1: mmHg st: NotStopd t0: [21:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 04/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [21:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 04/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 124 rs: Manual st: NotStopd
t0: [21:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [21:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [21:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [21:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [21:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [21:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [21:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [22:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [22:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [22:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 04/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [22:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 04/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 120 rs: Manual st: NotStopd
t0: [22:00:00 04/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 150 vu: ml t0: [22:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [22:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [22:00:00 04/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 500 vu: ml t0: [22:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [22:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [22:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [22:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [22:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 04/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 1060 ap: none
t0: [16:00:00 04/10/2016] id: Gentamycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd
t0: [23:00:00 04/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 04/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 04/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 04/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 04/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 04/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [23:00:00 04/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 04/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [23:00:00 04/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 57.6667 u1: mmHg st: NotStopd t0: [23:00:00 04/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 04/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [23:00:00 04/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:00:00 04/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 04/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 04/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 04/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [23:00:00 04/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [23:00:00 04/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [23:00:00 04/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [23:00:00 04/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [23:00:00 04/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 04/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [23:00:00 04/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 04/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 110 cv: 110 ap: none t0: [23:00:00 04/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -5 cv: -5 ap: none t0: [23:00:00 04/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 20 cv: 1699 ap: none t0: [23:00:00 04/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 105 cv: 4714 ap: none t0: [23:00:00 04/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 85 cv: 1955 ap: none t0: [23:00:00 04/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 110 cv: 2600 ap: none t0: [23:00:00 04/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -5 cv: 2114 ap: none t0: [23:00:00 04/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 110 cv: 2600 ap: none t0: [23:00:00 04/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -5 cv: 3901.32 ap: carryForward
t0: [00:00:00 05/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 05/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 05/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: On st: NotStopd t0: [00:00:00 05/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 05/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 05/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 05/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 05/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 5 u1: points st: NotStopd t0: [00:00:00 05/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 05/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 05/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 05/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [00:00:00 05/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [00:00:00 05/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [00:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 05/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 05/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [00:00:00 05/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 05/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 05/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 05/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 05/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 05/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 05/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 05/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 05/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 05/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 05/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 05/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [00:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 60.6667 u1: mmHg st: NotStopd t0: [00:00:00 05/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 05/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 05/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 05/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 05/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 05/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 05/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 05/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 05/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [00:00:00 05/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 05/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [00:00:00 05/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 05/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 05/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 05/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 05/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 05/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 05/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 05/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 05/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [00:00:00 05/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [00:00:00 05/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 05/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [00:00:00 05/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 05/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 05/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 05/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 05/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 118 rs: Manual st: NotStopd t0: [00:00:00 05/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 05/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [00:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [00:00:00 05/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 500 vu: ml t0: [00:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [00:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [00:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [00:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [00:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 05/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [00:00:00 05/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 20 t0: [00:00:00 05/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 25cm v2: Lip st: NotStopd t0: [00:00:00 05/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 05/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 05/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 05/10/2016] id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:3.0 st: NotStopd t0: [00:00:00 05/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 8.5 mm st: NotStopd t0: [00:00:00 05/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [00:00:00 05/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 05/10/2016] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 05/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [00:00:00 05/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 05/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 18 u1: cmH2O st: NotStopd t0: [00:00:00 05/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 12.2 u1: L/min st: NotStopd t0: [00:00:00 05/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 05/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [00:00:00 05/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 29 u1: cmH2O st: NotStopd t0: [00:00:00 05/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 23 u1: cmH2O st: NotStopd t0: [00:00:00 05/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 13 u1: BPM st: NotStopd t0: [00:00:00 05/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 23 u1: BPM st: NotStopd t0: [00:00:00 05/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 05/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 05/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 558 u1: ml/B st: NotStopd t0: [00:00:00 05/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 05/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [00:00:00 05/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [00:00:00 05/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [01:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [01:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [01:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [01:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [01:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 05/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [01:00:00 05/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [01:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [01:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [01:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [01:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [01:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [01:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [01:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [02:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [02:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 60.6667 u1: mmHg st: NotStopd t0: [02:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [02:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 05/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 102 rs: Manual st: NotStopd
t0: [02:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [02:00:00 05/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 500 vu: ml t0: [02:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [02:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [02:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [02:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [02:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 05/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 1000 ap: none
t0: [03:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 121 u1: BPM st: NotStopd t0: [03:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [03:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [03:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [03:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [03:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 05/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 70 rs: Manual st: NotStopd
t0: [03:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [03:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [03:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [03:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [03:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml
t0: [03:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [03:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 05/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 240 cv: 240 ap: none t0: [23:00:00 05/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: -142 cv: -142 ap: none t0: [23:00:00 05/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 13 cv: 1132 ap: none t0: [23:00:00 05/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 98 cv: 4172 ap: none t0: [23:00:00 05/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 pv: 85 cv: 2040 ap: none t0: [23:00:00 05/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 240 cv: 2820 ap: none t0: [23:00:00 05/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: -142 cv: 1352 ap: carryForward t0: [23:00:00 05/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 240 cv: 2820 ap: carryForward t0: [23:00:00 05/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: -142 cv: 5253.32 ap: carryForward
t0: [04:00:00 05/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 23.8095 u1: ml/cmH st: NotStopd t0: [04:00:00 05/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: CRT v1: PEEP >10 st: NotStopd t0: [04:00:00 05/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 20 t0: [04:00:00 05/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 25cm v2: Lip st: NotStopd t0: [04:00:00 05/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 05/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 05/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 05/10/2016] id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:3.0 st: NotStopd t0: [04:00:00 05/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 8.5 mm st: NotStopd t0: [04:00:00 05/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [04:00:00 05/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 05/10/2016] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 05/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [04:00:00 05/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 05/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 22 u1: cmH2O st: NotStopd t0: [04:00:00 05/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 14.3 u1: L/min st: NotStopd t0: [04:00:00 05/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 05/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 29 st: NotStopd t0: [04:00:00 05/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 31 u1: cmH2O st: NotStopd t0: [04:00:00 05/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 17 u1: cmH2O st: NotStopd t0: [04:00:00 05/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 23 u1: BPM st: NotStopd t0: [04:00:00 05/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 33 u1: BPM st: NotStopd t0: [04:00:00 05/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 05/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: CRT v1: 100 u1: % st: NotStopd t0: [04:00:00 05/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 632 u1: ml/B st: NotStopd t0: [04:00:00 05/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 05/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [04:00:00 05/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [04:00:00 05/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [03:15:00 05/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.9 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 11.9 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 29.2 u1: % rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.4 u1: gm/dl rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 302 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.47 u1: /mic l rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.9 rs: Final st: NotStopd
t0: [03:15:00 05/10/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 4.7 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 17.6 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 74.2 rs: Final st: NotStopd
t0: [20:00:00 04/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [03:15:00 05/10/2016] id: PT el: 0 cu: MICU cg: 1663 v1: 14.1 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 27.7 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14.1 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 27.7 rs: Final st: NotStopd t0: [04:00:00 05/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 05/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 05/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: On st: NotStopd t0: [04:00:00 05/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 05/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 05/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [04:00:00 05/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 05/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 5 u1: points st: NotStopd t0: [04:00:00 05/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 05/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 05/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [04:00:00 05/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [04:00:00 05/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [04:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 05/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 05/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [04:00:00 05/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 05/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 05/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 05/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 05/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 05/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 05/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 05/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 05/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 05/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [04:00:00 05/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 05/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 05/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 05/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 05/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 05/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 05/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 05/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 05/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [04:00:00 05/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 05/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [04:00:00 05/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 05/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 05/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 05/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 05/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 05/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [04:00:00 05/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 05/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 05/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [04:00:00 05/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [04:00:00 05/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 05/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 05/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 05/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 05/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 05/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 05/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [04:00:00 05/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 05/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 05/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [04:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [04:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [04:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [04:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [04:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [04:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [04:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:15:00 05/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 44 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 110 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 84 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 147 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 44 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 110 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 84 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [03:15:00 05/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 147 rs: Final st: NotStopd
t0: [04:00:00 05/10/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Formed st: NotStopd
t0: [04:00:00 05/10/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large
t0: [23:00:00 05/10/2016] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward
t0: [05:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [05:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [05:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 58.3333 u1: mmHg st: NotStopd t0: [05:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [05:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [05:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 05/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 134 rs: Manual st: NotStopd
t0: [05:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [05:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 1 vu: ml t0: [05:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [05:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [05:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [05:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [05:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:38:00 04/10/2016] id: Gentamycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [06:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [06:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [06:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [06:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [06:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 05/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 131 rs: Manual st: NotStopd
t0: [06:00:00 05/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [06:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [06:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [06:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [06:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [06:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [06:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [06:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 05/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [08:00:00 05/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [08:00:00 05/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [08:00:00 05/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [08:00:00 05/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 05/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 05/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 05/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3 st: NotStopd t0: [08:00:00 05/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [08:00:00 05/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 05/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 05/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:00:00 05/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 05/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 05/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [08:00:00 05/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.7 u1: L/min st: NotStopd t0: [08:00:00 05/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 05/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 05/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 05/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [08:00:00 05/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [08:00:00 05/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:00:00 05/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 05/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:00:00 05/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [08:00:00 05/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 05/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 516 u1: ml/B st: NotStopd t0: [08:00:00 05/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 05/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 05/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 05/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 05/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 05/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 05/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 05/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 05/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:00:00 05/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 05/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 05/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 05/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 05/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 05/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [08:00:00 05/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [08:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 05/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 05/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [08:00:00 05/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 05/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 05/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 05/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 05/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 05/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 05/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 05/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 05/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 05/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 05/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [08:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [08:00:00 05/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 05/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 05/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 05/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 05/10/2016] id: Previous Weight el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [08:00:00 05/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 05/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 05/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 05/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 05/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 05/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 05/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 05/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 05/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 05/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 05/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [08:00:00 05/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [08:00:00 05/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 05/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 05/10/2016] id: BSA - English el: 0 cu: MICU cg: RN v1: 1.9036 u1: m2 st: NotStopd t0: [08:00:00 05/10/2016] id: BSA - Metric el: 0 cu: MICU cg: RN v1: 2.20189 u1: m2 st: NotStopd t0: [08:00:00 05/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 05/10/2016] id: Weight Change el: 0 cu: MICU cg: RN v1: 3.5 u1: kg st: NotStopd t0: [08:00:00 05/10/2016] id: Daily Weight el: 0 cu: MICU cg: RN v1: 159.5 u1: kg st: NotStopd t0: [08:00:00 05/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 05/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 05/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 05/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 05/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 05/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 05/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 05/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 05/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 05/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [08:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [08:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 12 vu: ml t0: [08:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [08:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [08:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [08:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [08:00:00 05/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 68 rs: Manual st: NotStopd
t0: [08:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [09:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [09:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [09:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.5 u1: kg st: NotStopd t0: [09:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [09:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 05/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 113 rs: Manual st: NotStopd
t0: [09:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [09:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [09:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [09:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [09:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [09:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [10:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 05/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: Off st: NotStopd t0: [10:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 05/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 05/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [10:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 05/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 05/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [10:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62.3333 u1: mmHg st: NotStopd t0: [10:00:00 05/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 05/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 05/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 05/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [10:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 05/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.5 u1: kg st: NotStopd t0: [10:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [10:00:00 05/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 05/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 05/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 05/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 05/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: done t0: [10:00:00 05/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 121 rs: Manual st: NotStopd
t0: [10:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [10:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [10:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [10:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [10:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [09:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [10:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [11:00:00 05/10/2016] pt: IV Piggyback rt: IV fr: Q6H fs: 11, 17, 23, 5 dn: 4 m1: Imipenem-Cilastatin v1: 500 u1: mg m2: NS v2: 100 u2: ml
t0: [10:00:00 05/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [10:00:00 05/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [10:00:00 05/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [11:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [11:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [11:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [11:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.5 u1: kg st: NotStopd t0: [11:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [11:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 05/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [11:00:00 05/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [11:00:00 05/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [11:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 05/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 114 rs: Manual st: NotStopd
t0: [11:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [11:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [11:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [11:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [11:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [11:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [11:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 05/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [12:00:00 05/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [12:00:00 05/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [12:00:00 05/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [12:00:00 05/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 05/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 05/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:00:00 05/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3 st: NotStopd t0: [12:00:00 05/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [12:00:00 05/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 05/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.7 u1: Deg. C st: NotStopd t0: [12:00:00 05/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [12:00:00 05/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 05/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 05/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [12:00:00 05/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.9 u1: L/min st: NotStopd t0: [12:00:00 05/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 05/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 05/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [12:00:00 05/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [12:00:00 05/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [12:00:00 05/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [12:00:00 05/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 05/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 05/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [12:00:00 05/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 05/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 521 u1: ml/B st: NotStopd t0: [12:00:00 05/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 05/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 05/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 05/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
tf: [10:00:00 07/10/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [20:00:00 24/10/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 12, 20, 4 dn: 3 m1: Imipenem-Cilastatin v1: 500 u1: mg m2: NS v2: 100 u2: ml
t0: [10:00:00 05/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 05/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 05/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 05/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 05/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 05/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [12:00:00 05/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 05/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 05/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 05/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 05/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 05/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [12:00:00 05/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [12:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [12:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 05/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 05/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [12:00:00 05/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 05/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 05/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 05/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 05/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 05/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 05/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 05/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 05/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [12:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 57.6667 u1: mmHg st: NotStopd t0: [12:00:00 05/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 05/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 05/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.5 u1: kg st: NotStopd t0: [12:00:00 05/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 05/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 05/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 05/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 05/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 05/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 05/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 05/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [12:00:00 05/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [12:00:00 05/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 05/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 05/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 05/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 05/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [12:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 8 vu: ml t0: [12:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [12:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [12:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [12:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [12:00:00 05/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 116 rs: Manual st: NotStopd
t0: [12:00:00 05/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml
t0: [12:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 9 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [13:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [13:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [13:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.5 u1: kg st: NotStopd t0: [13:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [13:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 05/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 113 rs: Manual st: NotStopd
t0: [12:00:00 05/10/2016] tf: [17:00:00 06/10/2016] dt: 1740 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [13:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [13:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 9 vu: ml t0: [13:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [13:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [13:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [13:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [13:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [14:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [14:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [14:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.5 u1: kg st: NotStopd t0: [14:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 05/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 05/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [14:00:00 05/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.5 u1: Deg. F st: NotStopd t0: [14:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 05/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 101 rs: Manual st: NotStopd
t0: [14:00:00 05/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [14:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [14:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 10 vu: ml t0: [14:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [14:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [14:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [14:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [14:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [15:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [15:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 58.3333 u1: mmHg st: NotStopd t0: [15:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.5 u1: kg st: NotStopd t0: [15:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 05/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 117 rs: Manual st: NotStopd
t0: [15:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [15:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 10 vu: ml t0: [15:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [15:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [15:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [15:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [15:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 05/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [16:00:00 05/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd t0: [16:00:00 05/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [16:00:00 05/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [16:00:00 05/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 05/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 05/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:00:00 05/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3 st: NotStopd t0: [16:00:00 05/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [16:00:00 05/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 05/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [16:00:00 05/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:00:00 05/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 05/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 05/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [16:00:00 05/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.2 u1: L/min st: NotStopd t0: [16:00:00 05/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 05/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 05/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [16:00:00 05/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [16:00:00 05/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [16:00:00 05/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [16:00:00 05/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 05/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:00:00 05/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [16:00:00 05/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 05/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [16:00:00 05/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 05/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 05/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 05/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 05/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 05/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 05/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 05/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 05/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 05/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [16:00:00 05/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 05/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 05/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 05/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 05/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 05/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [16:00:00 05/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [16:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [16:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 05/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 05/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [16:00:00 05/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 05/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 05/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 05/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 05/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 05/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 05/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 05/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 05/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 05/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 05/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [16:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [16:00:00 05/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 05/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 05/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 05/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.5 u1: kg st: NotStopd t0: [16:00:00 05/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 05/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 05/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 05/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 05/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:00:00 05/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 05/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 05/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 05/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 05/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 05/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [16:00:00 05/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [16:00:00 05/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 05/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 05/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 05/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 05/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [16:00:00 05/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 05/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 05/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 05/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 05/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 05/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 05/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [15:00:00 05/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [16:00:00 05/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [16:00:00 05/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [16:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [16:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 11 vu: ml t0: [16:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [16:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [16:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [16:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [16:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [17:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [17:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [17:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.5 u1: kg st: NotStopd t0: [17:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [17:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 11 vu: ml t0: [17:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [17:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [17:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [17:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
tf: [23:00:00 05/10/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Humulin-R Insulin v1: 100 u1: UNIT m2: NS v2: 100 u2: ml
t0: [17:00:00 05/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [17:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 05/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 98 rs: Manual st: NotStopd t0: [17:00:00 05/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 84 rs: Manual st: NotStopd t0: [18:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [18:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [18:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 59.3333 u1: mmHg st: NotStopd t0: [18:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 159.5 u1: kg st: NotStopd t0: [18:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [18:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 05/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 05/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [18:00:00 05/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [18:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 05/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 91 rs: Manual st: NotStopd
t0: [18:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [18:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: RN ai: 209 vo: 10 vu: ml t0: [18:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [18:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [18:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [18:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 05/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [18:00:00 05/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 05/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [20:00:00 05/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 20 t0: [20:00:00 05/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 25cm v2: Lip st: NotStopd t0: [20:00:00 05/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 05/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 05/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 05/10/2016] id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:3.0 st: NotStopd t0: [20:00:00 05/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 8.5 mm st: NotStopd t0: [20:00:00 05/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [20:00:00 05/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 34.5 u1: Deg. C st: NotStopd t0: [20:00:00 05/10/2016] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 05/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [20:00:00 05/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 05/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 16 u1: cmH2O st: NotStopd t0: [20:00:00 05/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 12.3 u1: L/min st: NotStopd t0: [20:00:00 05/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 05/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [20:00:00 05/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 24 u1: cmH2O st: NotStopd t0: [20:00:00 05/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 27 u1: cmH2O st: NotStopd t0: [20:00:00 05/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 05/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 24 u1: BPM st: NotStopd t0: [20:00:00 05/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 05/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: CRT v1: 100 u1: % st: NotStopd t0: [20:00:00 05/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 714 u1: ml/B st: NotStopd t0: [20:00:00 05/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 05/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [20:00:00 05/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [20:00:00 05/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [19:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [19:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [19:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [19:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 63.3333 u1: mmHg st: NotStopd t0: [19:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.5 u1: kg st: NotStopd t0: [19:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [19:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 109 u1: BPM st: NotStopd t0: [20:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [20:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [20:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 64.3333 u1: mmHg st: NotStopd t0: [20:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.5 u1: kg st: NotStopd t0: [20:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [20:00:00 05/10/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 05/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.2778 u1: Deg. C st: NotStopd t0: [20:00:00 05/10/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 100.9 u1: Deg. F st: NotStopd t0: [20:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [21:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 109 u1: BPM st: NotStopd t0: [21:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [21:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.5 u1: kg st: NotStopd t0: [21:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [21:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [19:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 10 vu: ml t0: [19:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [19:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [19:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 90 vu: ml t0: [20:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [20:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 10 vu: ml t0: [20:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [20:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [20:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 50 vu: ml t0: [21:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [21:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 10 vu: ml t0: [21:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [21:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [21:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 80 vu: ml
t0: [19:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 05/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [19:00:00 05/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip t0: [20:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 05/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [20:00:00 05/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip t0: [21:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 05/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [21:00:00 05/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [21:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 63.3333 u1: mmHg st: NotStopd t0: [22:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [22:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [22:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [22:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [22:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.5 u1: kg st: NotStopd t0: [22:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [22:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 05/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 05/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 05/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 05/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 05/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 05/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [23:00:00 05/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [23:00:00 05/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [23:00:00 05/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [23:00:00 05/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 05/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.5 u1: kg st: NotStopd t0: [23:00:00 05/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [23:00:00 05/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 05/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [22:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 10 vu: ml t0: [22:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [22:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [22:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 220 vu: ml t0: [23:00:00 05/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 05/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [23:00:00 05/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [23:00:00 05/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [23:00:00 05/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 240 vu: ml
t0: [22:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 05/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [22:00:00 05/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:00:00 05/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 05/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
tf: [14:00:00 06/10/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [00:00:00 06/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [00:00:00 06/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 20 t0: [00:00:00 06/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 25cm v2: Lip st: NotStopd t0: [00:00:00 06/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 06/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 06/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 06/10/2016] id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:3.0 st: NotStopd t0: [00:00:00 06/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 8.5 mm st: NotStopd t0: [00:00:00 06/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [00:00:00 06/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 06/10/2016] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 06/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [00:00:00 06/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 06/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 17 u1: cmH2O st: NotStopd t0: [00:00:00 06/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 11.1 u1: L/min st: NotStopd t0: [00:00:00 06/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 06/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [00:00:00 06/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 26 u1: cmH2O st: NotStopd t0: [00:00:00 06/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 06/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 13 u1: BPM st: NotStopd t0: [00:00:00 06/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 23 u1: BPM st: NotStopd t0: [00:00:00 06/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 06/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: CRT v1: 99 u1: % st: NotStopd t0: [00:00:00 06/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 481 u1: ml/B st: NotStopd t0: [00:00:00 06/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 06/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [00:00:00 06/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [00:00:00 06/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [20:00:00 05/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [20:00:00 05/10/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 05/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 05/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Both Legs v2: 4 mm st: NotStopd t0: [20:00:00 05/10/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [20:00:00 05/10/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [20:00:00 05/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 05/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 05/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 05/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: -1 v1: 8 v2: 15 st: NotStopd t0: [20:00:00 05/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: -1 v1: 20 French st: NotStopd t0: [20:00:00 05/10/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 05/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 05/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 19 st: NotStopd t0: [20:00:00 05/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 05/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [20:00:00 05/10/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 05/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Fair st: NotStopd t0: [20:00:00 05/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [20:00:00 05/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 05/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [20:00:00 05/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [20:00:00 05/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [20:00:00 05/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 05/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 05/10/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 05/10/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 05/10/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 05/10/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Thrush st: NotStopd t0: [20:00:00 05/10/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 05/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 05/10/2016] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 05/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 05/10/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 05/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [20:00:00 05/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 05/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 05/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 05/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 05/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 05/10/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 05/10/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 05/10/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 05/10/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 05/10/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [20:00:00 05/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 05/10/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 05/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 05/10/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 05/10/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 05/10/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 05/10/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 05/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [20:00:00 05/10/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 05/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 05/10/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Comp. Immobile st: NotStopd t0: [20:00:00 05/10/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 05/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 05/10/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 11 u1: number st: NotStopd t0: [20:00:00 05/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [23:00:00 05/10/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [23:00:00 05/10/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [23:00:00 05/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Fair st: NotStopd t0: [23:00:00 05/10/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 05/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 05/10/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [23:00:00 05/10/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [23:00:00 05/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [23:00:00 05/10/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 05/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 05/10/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [23:00:00 05/10/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 06/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [00:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 06/10/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 06/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 06/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 06/10/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [00:00:00 06/10/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [00:00:00 06/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 06/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 06/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Clamped st: NotStopd t0: [00:00:00 06/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: -1 v1: 8 v2: 15 st: NotStopd t0: [00:00:00 06/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: -1 v1: 20 French st: NotStopd t0: [00:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 109 u1: BPM st: NotStopd t0: [00:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [00:00:00 06/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 06/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 19 st: NotStopd t0: [00:00:00 06/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 06/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [00:00:00 06/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [00:00:00 06/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 06/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [00:00:00 06/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [00:00:00 06/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [00:00:00 06/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 06/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 06/10/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 06/10/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [00:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 63.6667 u1: mmHg st: NotStopd t0: [00:00:00 06/10/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Thrush st: NotStopd t0: [00:00:00 06/10/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 06/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.5 u1: kg st: NotStopd t0: [00:00:00 06/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 06/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 06/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 06/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 06/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [00:00:00 06/10/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 06/10/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 06/10/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 06/10/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [00:00:00 06/10/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 06/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.1111 u1: Deg. C st: NotStopd t0: [00:00:00 06/10/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 100.6 u1: Deg. F st: NotStopd t0: [00:00:00 06/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 06/10/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 06/10/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 06/10/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 06/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [00:00:00 06/10/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 06/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 06/10/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Comp. Immobile st: NotStopd t0: [00:00:00 06/10/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [00:00:00 06/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [00:00:00 06/10/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 11 u1: number st: NotStopd t0: [00:00:00 06/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [01:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [01:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [01:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [01:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [01:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.5 u1: kg st: NotStopd t0: [01:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [01:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [02:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 06/10/2016] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 06/10/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 110 u1: BPM st: NotStopd t0: [02:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [02:00:00 06/10/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 06/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Fair st: NotStopd t0: [02:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [02:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 65.3333 u1: mmHg st: NotStopd t0: [02:00:00 06/10/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 06/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 06/10/2016] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [02:00:00 06/10/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 06/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [02:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.5 u1: kg st: NotStopd t0: [02:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [02:00:00 06/10/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 06/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 06/10/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [02:00:00 06/10/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 111 u1: BPM st: NotStopd t0: [03:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [03:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [03:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 66.6667 u1: mmHg st: NotStopd t0: [03:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.5 u1: kg st: NotStopd t0: [03:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [03:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [03:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 06/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [04:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 06/10/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 06/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 06/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Both Legs v2: 4 mm st: NotStopd t0: [04:00:00 06/10/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [04:00:00 06/10/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [04:00:00 06/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 06/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 06/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Clamped st: NotStopd t0: [04:00:00 06/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: -1 v1: 8 v2: 15 st: NotStopd t0: [04:00:00 06/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: -1 v1: 20 French st: NotStopd t0: [04:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 115 u1: BPM st: NotStopd t0: [04:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [04:00:00 06/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 06/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 19 st: NotStopd t0: [04:00:00 06/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 06/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [04:00:00 06/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [04:00:00 06/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 06/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [04:00:00 06/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [04:00:00 06/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [04:00:00 06/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 06/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 06/10/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 06/10/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [04:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [04:00:00 06/10/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Thrush st: NotStopd t0: [04:00:00 06/10/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 06/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.5 u1: kg st: NotStopd t0: [04:00:00 06/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 06/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 06/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 06/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 06/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 06/10/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 06/10/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 06/10/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 06/10/2016] id: Support Systems el: 0 cu: MICU cg: -1 v1: Spouse st: NotStopd t0: [04:00:00 06/10/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 06/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.2778 u1: Deg. C st: NotStopd t0: [04:00:00 06/10/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 100.9 u1: Deg. F st: NotStopd t0: [04:00:00 06/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 06/10/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 06/10/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 06/10/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 06/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [04:00:00 06/10/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 06/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 06/10/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Comp. Immobile st: NotStopd t0: [04:00:00 06/10/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [04:00:00 06/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [04:00:00 06/10/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 11 u1: number st: NotStopd t0: [04:00:00 06/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd
t0: [00:00:00 06/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [00:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [00:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 110 vu: ml t0: [01:00:00 06/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [01:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [01:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 90 vu: ml t0: [02:00:00 06/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [02:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [02:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 140 vu: ml t0: [03:00:00 06/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [03:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [03:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 130 vu: ml t0: [04:00:00 06/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [04:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [04:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 80 vu: ml
t0: [00:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 06/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [01:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 06/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [02:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 06/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [03:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 06/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [04:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 06/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [04:00:00 06/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 50 u1: ml/cmH st: NotStopd t0: [04:00:00 06/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: CRT v1: PEEP >10 st: NotStopd t0: [04:00:00 06/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 20 t0: [04:00:00 06/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: CRT v1: 25cm v2: Lip st: NotStopd t0: [04:00:00 06/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 06/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 06/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 25 u1: BPM st: NotStopd t0: [04:00:00 06/10/2016] id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:3.0 st: NotStopd t0: [04:00:00 06/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 8.5 mm st: NotStopd t0: [04:00:00 06/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Endotracheal st: NotStopd t0: [04:00:00 06/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 34.3 u1: Deg. C st: NotStopd t0: [04:00:00 06/10/2016] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 06/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [04:00:00 06/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 06/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 06/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 13.6 u1: L/min st: NotStopd t0: [04:00:00 06/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 06/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [04:00:00 06/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 21 u1: cmH2O st: NotStopd t0: [04:00:00 06/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 06/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 27 u1: BPM st: NotStopd t0: [04:00:00 06/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 37 u1: BPM st: NotStopd t0: [04:00:00 06/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 06/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 06/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 551 u1: ml/B st: NotStopd t0: [04:00:00 06/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 06/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [04:00:00 06/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [04:00:00 06/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [05:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 06/10/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [05:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [05:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [05:00:00 06/10/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [05:00:00 06/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Fair st: NotStopd t0: [05:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [05:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 69.6667 u1: mmHg st: NotStopd t0: [05:00:00 06/10/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 06/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 06/10/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [05:00:00 06/10/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [05:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 06/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [05:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.5 u1: kg st: NotStopd t0: [05:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [05:00:00 06/10/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 06/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 06/10/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [05:00:00 06/10/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 06/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [05:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [05:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml
t0: [05:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 06/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [04:55:00 06/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.6 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 9.6 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 28.6 u1: % rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.3 u1: gm/dl rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 265 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.44 u1: /mic l rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.6 rs: Final st: NotStopd
t0: [04:55:00 06/10/2016] id: PT el: 0 cu: MICU cg: 1663 v1: 14.4 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 27.3 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14.4 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 27.3 rs: Final st: NotStopd
t0: [04:55:00 06/10/2016] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 17.8 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 73.2 rs: Final st: NotStopd
t0: [04:55:00 06/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 41 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 148 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 41 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [04:55:00 06/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 148 rs: Final st: NotStopd
t0: [06:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 113 u1: BPM st: NotStopd t0: [06:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [06:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [06:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 68.6667 u1: mmHg st: NotStopd t0: [06:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 159.5 u1: kg st: NotStopd t0: [06:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [06:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [06:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 05/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vu: ml t0: [00:00:00 06/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vu: ml t0: [01:00:00 06/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vu: ml t0: [02:00:00 06/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vu: ml t0: [03:00:00 06/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vu: ml t0: [04:00:00 06/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 300 vu: ml t0: [04:00:00 06/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vu: ml t0: [05:00:00 06/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vu: ml t0: [06:00:00 06/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 50 vu: ml t0: [06:00:00 06/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [06:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [06:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml
t0: [23:00:00 05/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [00:00:00 06/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [01:00:00 06/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 06/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [03:00:00 06/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [04:00:00 06/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 06/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 06/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [00:00:00 06/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 118 rs: Manual st: NotStopd t0: [02:00:00 06/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 111 rs: Manual st: NotStopd t0: [05:00:00 06/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 101 rs: Manual st: NotStopd
t0: [00:00:00 06/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vu: ml t0: [01:00:00 06/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vu: ml t0: [02:00:00 06/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vu: ml t0: [03:00:00 06/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vu: ml t0: [04:00:00 06/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vu: ml t0: [05:00:00 06/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vu: ml t0: [06:00:00 06/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vu: ml
t0: [07:00:00 06/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [07:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 06/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [07:00:00 06/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN st: NotStopd t0: [07:00:00 06/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [07:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 06/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [07:00:00 06/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [07:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 06/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [07:00:00 06/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [07:00:00 06/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [07:00:00 06/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [07:00:00 06/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [07:00:00 06/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [07:00:00 06/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 15 st: NotStopd t0: [07:00:00 06/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [07:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [07:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 06/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [07:00:00 06/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [07:00:00 06/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [07:00:00 06/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [07:00:00 06/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [07:00:00 06/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [07:00:00 06/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [07:00:00 06/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [07:00:00 06/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [07:00:00 06/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [07:00:00 06/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [07:00:00 06/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [07:00:00 06/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [07:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [07:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [07:00:00 06/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [07:00:00 06/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [07:00:00 06/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [07:00:00 06/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [07:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 06/10/2016] id: Previous Weight el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [07:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [07:00:00 06/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [07:00:00 06/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [07:00:00 06/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [07:00:00 06/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [07:00:00 06/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [07:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [07:00:00 06/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 06/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [07:00:00 06/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [07:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 06/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [07:00:00 06/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 06/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [07:00:00 06/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [07:00:00 06/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.8333 u1: Deg. C st: NotStopd t0: [07:00:00 06/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [07:00:00 06/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [07:00:00 06/10/2016] id: BSA - English el: 0 cu: MICU cg: RN v1: 1.88067 u1: m2 st: NotStopd t0: [07:00:00 06/10/2016] id: BSA - Metric el: 0 cu: MICU cg: RN v1: 2.17599 u1: m2 st: NotStopd t0: [07:00:00 06/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [07:00:00 06/10/2016] id: Weight Change el: 0 cu: MICU cg: RN v1: 0 u1: kg st: NotStopd t0: [07:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 06/10/2016] id: Daily Weight el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [07:00:00 06/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [07:00:00 06/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [07:00:00 06/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [07:00:00 06/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [07:00:00 06/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [07:00:00 06/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [07:00:00 06/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [07:00:00 06/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [07:00:00 06/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [07:00:00 06/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [07:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [07:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [07:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 06/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [08:00:00 06/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [08:00:00 06/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [08:00:00 06/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [08:00:00 06/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 06/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 06/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:00:00 06/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3 st: NotStopd t0: [08:00:00 06/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [08:00:00 06/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 06/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 06/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:00:00 06/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 06/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 06/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [08:00:00 06/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.9 u1: L/min st: NotStopd t0: [08:00:00 06/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 06/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 06/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 06/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [08:00:00 06/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [08:00:00 06/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [08:00:00 06/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 06/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:00:00 06/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 06/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 06/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 06/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 06/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [08:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [08:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 60.6667 u1: mmHg st: NotStopd t0: [08:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [08:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 06/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [08:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [08:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [08:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 06/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [08:00:00 06/10/2016] id: Cuff Pressure-Airway el: 0 cu: MICU cg: RRT u1: cmH2O st: NotStopd
t0: [07:00:00 06/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.9 u1: Deg. F st: NotStopd t0: [09:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 06/10/2016] id: ETT Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 06/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [09:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [09:00:00 06/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [09:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [09:00:00 06/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 06/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 06/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 06/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: done
t0: [09:00:00 06/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [09:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [09:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [09:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 06/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [09:00:00 06/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: On st: NotStopd t0: [10:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [10:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [10:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [10:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [10:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 06/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [10:00:00 06/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3889 u1: Deg. C st: NotStopd t0: [10:00:00 06/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.1 u1: Deg. F st: NotStopd t0: [10:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 06/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [10:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [10:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [10:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 06/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [11:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [11:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [11:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [11:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [11:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [11:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 06/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [11:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [11:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [11:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 06/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [12:00:00 06/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 06/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 06/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 06/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 06/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 06/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [12:00:00 06/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 06/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 06/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 06/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 06/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 06/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [12:00:00 06/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [12:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [12:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 06/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 06/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [12:00:00 06/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 06/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 06/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 06/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 06/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 06/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 06/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 06/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 06/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [12:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [12:00:00 06/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 06/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 06/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 06/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [12:00:00 06/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 06/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 06/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [12:00:00 06/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 06/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 06/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 06/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 06/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 06/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 06/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 06/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.9444 u1: Deg. C st: NotStopd t0: [12:00:00 06/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.1 u1: Deg. F st: NotStopd t0: [12:00:00 06/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [12:00:00 06/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 06/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 06/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 06/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [12:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [12:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [12:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 06/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [12:00:00 06/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [12:00:00 06/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [12:00:00 06/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 06/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 06/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [12:00:00 06/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3 st: NotStopd t0: [12:00:00 06/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [12:00:00 06/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 06/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 06/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [12:00:00 06/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 06/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 06/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [12:00:00 06/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.6 u1: L/min st: NotStopd t0: [12:00:00 06/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 06/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [12:00:00 06/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [12:00:00 06/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [12:00:00 06/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [12:00:00 06/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 06/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 06/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [12:00:00 06/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 06/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 06/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 06/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 06/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 133 rs: Manual st: NotStopd
io: D5W IV Infusions el: 4 cu: MICU cg: RN ra: 75 ru: ml/hr
t0: [12:00:00 06/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 0 st: D/C'd
id: D5W el: 4 cu: MICU cg: RN io: D5W IV Infusions du: ml rt: Intravenous Push
t0: [13:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [13:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [13:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [13:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [13:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 06/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [13:00:00 06/10/2016] tf: [20:00:00 07/10/2016] dt: 1860 id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vu: ml nb: 1 t0: [13:00:00 06/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [13:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [13:00:00 06/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [13:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [13:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [13:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 06/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [14:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [14:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [14:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [14:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 06/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 06/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [14:00:00 06/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [14:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 06/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [14:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [14:00:00 06/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [14:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [14:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [14:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 06/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [15:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [15:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [15:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [15:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [15:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 06/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [15:00:00 06/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 06/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 150 rs: Manual st: NotStopd
t0: [15:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [15:00:00 06/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [15:00:00 06/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vu: ml nb: 1 t0: [15:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [15:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
tf: [23:00:00 06/10/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Humulin-R Insulin v1: 100 u1: UNIT m2: NS v2: 100 u2: ml
t0: [15:00:00 06/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml
t0: [13:20:00 06/10/2016] id: Vancomycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 13.3 rs: Final st: NotStopd
t0: [16:00:00 06/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 06/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 06/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 06/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 06/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [16:00:00 06/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 06/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 06/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 06/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 06/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 06/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [16:00:00 06/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [16:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [16:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 06/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 06/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [16:00:00 06/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 06/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 06/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 06/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 06/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 06/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 06/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 06/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 06/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [16:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [16:00:00 06/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 06/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 06/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 06/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [16:00:00 06/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 06/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 06/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 06/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 06/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 06/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 06/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.1111 u1: Deg. C st: NotStopd t0: [16:00:00 06/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.4 u1: Deg. F st: NotStopd t0: [16:00:00 06/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [16:00:00 06/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 06/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 06/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 06/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [16:00:00 06/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 06/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 06/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 06/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 06/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 06/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 06/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [16:00:00 06/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [16:00:00 06/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [16:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [16:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [16:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 06/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [16:00:00 06/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 178 rs: Manual st: NotStopd
t0: [16:00:00 06/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [17:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [17:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62.6667 u1: mmHg st: NotStopd t0: [17:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [17:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 06/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 162 rs: Manual st: NotStopd
t0: [17:00:00 06/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [17:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [17:00:00 06/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [17:00:00 06/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [17:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [17:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [17:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 06/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [17:00:00 06/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 06/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [12:00:00 06/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 06/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [17:00:00 06/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [17:00:00 06/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [17:00:00 06/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 06/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [17:00:00 06/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [17:00:00 06/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3 st: NotStopd t0: [17:00:00 06/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [17:00:00 06/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 06/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [17:00:00 06/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [17:00:00 06/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [17:00:00 06/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [17:00:00 06/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [17:00:00 06/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.8 u1: L/min st: NotStopd t0: [17:00:00 06/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 06/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [17:00:00 06/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [17:00:00 06/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [17:00:00 06/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [17:00:00 06/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [17:00:00 06/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 06/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 06/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [17:00:00 06/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [17:00:00 06/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [17:00:00 06/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 06/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [17:00:00 06/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [17:00:00 06/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 06/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: On st: NotStopd t0: [17:00:00 06/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 06/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [17:00:00 06/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 06/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 06/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 06/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 06/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [17:00:00 06/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [17:00:00 06/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 06/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 06/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 06/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 06/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 06/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: done t0: [18:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [18:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [18:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [18:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [18:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [18:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 06/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 06/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2778 u1: Deg. C st: NotStopd t0: [18:00:00 06/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.9 u1: Deg. F st: NotStopd t0: [18:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [18:00:00 06/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [18:00:00 06/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [18:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [18:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [18:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 06/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [18:00:00 06/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [19:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [19:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [19:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [19:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [19:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 06/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 137 rs: Manual st: NotStopd
t0: [19:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [19:00:00 06/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [19:00:00 06/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [19:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [19:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [19:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 06/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [19:00:00 06/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 06/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 151 rs: Manual st: NotStopd
t0: [18:15:00 06/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 40 rs: Final st: NotStopd t0: [18:15:00 06/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [18:15:00 06/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 113 rs: Final st: NotStopd t0: [18:15:00 06/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [18:15:00 06/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 155 rs: Final st: NotStopd t0: [18:15:00 06/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [18:15:00 06/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 149 rs: Final st: NotStopd t0: [18:15:00 06/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 40 rs: Final st: NotStopd t0: [18:15:00 06/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [18:15:00 06/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [18:15:00 06/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 113 rs: Final st: NotStopd t0: [18:15:00 06/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [18:15:00 06/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 155 rs: Final st: NotStopd t0: [18:15:00 06/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [18:15:00 06/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 149 rs: Final st: NotStopd
t0: [20:00:00 06/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [20:00:00 06/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [20:00:00 06/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [20:00:00 06/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 06/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 06/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [20:00:00 06/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [20:00:00 06/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 06/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:00:00 06/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 06/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 06/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [20:00:00 06/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13 u1: L/min st: NotStopd t0: [20:00:00 06/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 06/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 06/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [20:00:00 06/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [20:00:00 06/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [20:00:00 06/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 06/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 06/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:00:00 06/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 06/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 06/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 06/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [20:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [20:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 121 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [20:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [20:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 156 u1: kg st: NotStopd t0: [20:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [20:00:00 06/10/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 06/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.4444 u1: Deg. C st: NotStopd t0: [20:00:00 06/10/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 101.2 u1: Deg. F st: NotStopd t0: [20:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [21:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 110 u1: BPM st: NotStopd t0: [21:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [21:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [21:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 65.3333 u1: mmHg st: NotStopd t0: [21:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 156 u1: kg st: NotStopd t0: [21:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [21:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [20:00:00 06/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: -1 ai: 168 vo: 75 vu: ml t0: [20:00:00 06/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [20:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [20:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 70 vu: ml t0: [21:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [21:00:00 06/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: -1 ai: 168 vo: 75 vu: ml t0: [21:00:00 06/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [21:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [21:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml
t0: [20:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 06/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [20:00:00 06/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip t0: [21:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 06/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [21:00:00 06/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 06/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 90 cv: 90 ap: none t0: [23:00:00 06/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: 223 cv: 223 ap: none t0: [23:00:00 06/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 228 cv: 2077 ap: none t0: [23:00:00 06/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 313 cv: 2757 ap: none t0: [23:00:00 06/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 pv: 85 cv: 680 ap: none t0: [23:00:00 06/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 90 cv: 2290 ap: none t0: [23:00:00 06/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: 223 cv: 467 ap: none t0: [23:00:00 06/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 90 cv: 2290 ap: none t0: [23:00:00 06/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: 223 cv: 5720.32 ap: carryForward
t0: [23:00:00 06/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 131 rs: Manual st: NotStopd
t0: [23:00:00 07/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -10 cv: 7409.32 ap: carryForward
tf: [09:00:00 16/10/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [01:00:00 07/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [01:00:00 07/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [01:00:00 07/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [01:00:00 07/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:00:00 07/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [01:00:00 07/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [01:00:00 07/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [01:00:00 07/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 07/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [01:00:00 07/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [01:00:00 07/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [01:00:00 07/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [01:00:00 07/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [01:00:00 07/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 07/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [01:00:00 07/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [01:00:00 07/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:00:00 07/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [01:00:00 07/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:00:00 07/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [01:00:00 07/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [01:00:00 07/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [01:00:00 07/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 07/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [01:00:00 07/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [22:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [22:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [22:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 71.6667 u1: mmHg st: NotStopd t0: [22:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 156 u1: kg st: NotStopd t0: [22:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [22:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 06/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 06/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 06/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 06/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 06/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 06/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [23:00:00 06/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [23:00:00 06/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 134 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [23:00:00 06/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 71.3333 u1: mmHg st: NotStopd t0: [23:00:00 06/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 06/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 156 u1: kg st: NotStopd t0: [23:00:00 06/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [23:00:00 06/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [23:00:00 06/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 106 u1: BPM st: NotStopd t0: [00:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [00:00:00 07/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 121 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [00:00:00 07/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 67.6667 u1: mmHg st: NotStopd t0: [00:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 156 u1: kg st: NotStopd t0: [00:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 07/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.5556 u1: Deg. C st: NotStopd t0: [00:00:00 07/10/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 101.4 u1: Deg. F st: NotStopd t0: [00:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 109 u1: BPM st: NotStopd t0: [01:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [01:00:00 07/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [01:00:00 07/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 65.6667 u1: mmHg st: NotStopd t0: [01:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 156 u1: kg st: NotStopd t0: [01:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [01:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [02:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [02:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [02:00:00 07/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [02:00:00 07/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 156 u1: kg st: NotStopd t0: [02:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [02:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [03:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [03:00:00 07/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [03:00:00 07/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 67.3333 u1: mmHg st: NotStopd t0: [03:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 156 u1: kg st: NotStopd t0: [03:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [03:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [03:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 07/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [04:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 07/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [04:00:00 07/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [04:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 07/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 106 u1: BPM st: NotStopd t0: [04:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [04:00:00 07/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 07/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [04:00:00 07/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [04:00:00 07/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 07/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:00:00 07/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 07/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 07/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 07/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8 u1: L/min st: NotStopd t0: [04:00:00 07/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [04:00:00 07/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 66.6667 u1: mmHg st: NotStopd t0: [04:00:00 07/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 07/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 07/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [04:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 156 u1: kg st: NotStopd t0: [04:00:00 07/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [04:00:00 07/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [04:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [04:00:00 07/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 07/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:00:00 07/10/2016] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 07/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.8333 u1: Deg. C st: NotStopd t0: [04:00:00 07/10/2016] id: Temperature F el: 0 cu: MICU cg: -1 v1: 101.9 u1: Deg. F st: NotStopd t0: [04:00:00 07/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 468 u1: ml/B st: NotStopd t0: [04:00:00 07/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 07/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 07/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 07/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd t0: [04:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 06/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [22:00:00 06/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:00:00 06/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 06/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [23:00:00 06/10/2016] id: Insulin el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip t0: [00:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 07/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [01:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 07/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [02:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 07/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [03:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 07/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [04:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 07/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [20:00:00 06/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [20:00:00 06/10/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [20:00:00 06/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 06/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Both Legs v2: 4 mm st: NotStopd t0: [20:00:00 06/10/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 06/10/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 9 u1: points st: NotStopd t0: [20:00:00 06/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 06/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 06/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 06/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: -1 v1: 8 v2: 21 st: NotStopd t0: [20:00:00 06/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: -1 v1: 20 French st: NotStopd t0: [20:00:00 06/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 06/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 19 st: NotStopd t0: [20:00:00 06/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 06/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [20:00:00 06/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [20:00:00 06/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 06/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [20:00:00 06/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [20:00:00 06/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [20:00:00 06/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 06/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 06/10/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 06/10/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 06/10/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Thrush st: NotStopd t0: [20:00:00 06/10/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 06/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 06/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 06/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 06/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 06/10/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 06/10/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 06/10/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 06/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Cloudy st: NotStopd t0: [20:00:00 06/10/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 06/10/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 06/10/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 06/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [20:00:00 06/10/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 06/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 06/10/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Comp. Immobile st: NotStopd t0: [20:00:00 06/10/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 06/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 06/10/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 11 u1: number st: NotStopd t0: [20:00:00 06/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [21:00:00 06/10/2016] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [21:00:00 06/10/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [21:00:00 06/10/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [21:00:00 06/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [21:00:00 06/10/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [21:00:00 06/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 06/10/2016] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [21:00:00 06/10/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Total Lift st: NotStopd t0: [21:00:00 06/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [21:00:00 06/10/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [21:00:00 06/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 06/10/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [21:00:00 06/10/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 07/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [00:00:00 07/10/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 07/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 07/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 07/10/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 07/10/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 9 u1: points st: NotStopd t0: [00:00:00 07/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 07/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 07/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Clamped st: NotStopd t0: [00:00:00 07/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: -1 v1: 8 v2: 21 st: NotStopd t0: [00:00:00 07/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: -1 v1: 20 French st: NotStopd t0: [00:00:00 07/10/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [00:00:00 07/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 07/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 19 st: NotStopd t0: [00:00:00 07/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 07/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [00:00:00 07/10/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 07/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [00:00:00 07/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [00:00:00 07/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 07/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [00:00:00 07/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [00:00:00 07/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [00:00:00 07/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 07/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 07/10/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 07/10/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 07/10/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 07/10/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Thrush st: NotStopd t0: [00:00:00 07/10/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 07/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 07/10/2016] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 07/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 07/10/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 07/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [00:00:00 07/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 07/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 07/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 07/10/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 07/10/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 07/10/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 07/10/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 07/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 07/10/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 07/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Cloudy st: NotStopd t0: [00:00:00 07/10/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 07/10/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 07/10/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 07/10/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 07/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [00:00:00 07/10/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 07/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 07/10/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Comp. Immobile st: NotStopd t0: [00:00:00 07/10/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [00:00:00 07/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [00:00:00 07/10/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 11 u1: number st: NotStopd t0: [00:00:00 07/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [03:00:00 07/10/2016] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [03:00:00 07/10/2016] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [03:00:00 07/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Good st: NotStopd t0: [03:00:00 07/10/2016] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [03:00:00 07/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 07/10/2016] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [03:00:00 07/10/2016] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [03:00:00 07/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: -1 v1: Multipodus Boots st: NotStopd t0: [03:00:00 07/10/2016] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [03:00:00 07/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 07/10/2016] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [03:00:00 07/10/2016] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 07/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: H2 Blocker st: NotStopd t0: [04:00:00 07/10/2016] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 07/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: -1 v1: Both Legs v2: 4 mm st: NotStopd t0: [04:00:00 07/10/2016] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 07/10/2016] id: GCS Total el: 0 cu: MICU cg: -1 v1: 9 u1: points st: NotStopd t0: [04:00:00 07/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 07/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 07/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Clamped st: NotStopd t0: [04:00:00 07/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: -1 v1: 8 v2: 21 st: NotStopd t0: [04:00:00 07/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: -1 v1: 20 French st: NotStopd t0: [04:00:00 07/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 07/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 8 v2: 19 st: NotStopd t0: [04:00:00 07/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 07/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [04:00:00 07/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [04:00:00 07/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 07/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [04:00:00 07/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Heel, Right st: NotStopd t0: [04:00:00 07/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [04:00:00 07/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 07/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 07/10/2016] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 07/10/2016] id: Motor Response el: 0 cu: MICU cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 07/10/2016] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Thrush st: NotStopd t0: [04:00:00 07/10/2016] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 07/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 07/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 07/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 07/10/2016] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 07/10/2016] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 07/10/2016] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 07/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 07/10/2016] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 07/10/2016] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 07/10/2016] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 07/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [04:00:00 07/10/2016] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 07/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 07/10/2016] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Comp. Immobile st: NotStopd t0: [04:00:00 07/10/2016] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [04:00:00 07/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [04:00:00 07/10/2016] id: Braden Score el: 0 cu: MICU cg: -1 v1: 11 u1: number st: NotStopd t0: [04:00:00 07/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd
t0: [22:00:00 06/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [22:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [22:00:00 06/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: -1 ai: 168 vo: 75 vu: ml t0: [22:00:00 06/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [22:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [22:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 70 vu: ml t0: [23:00:00 06/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [23:00:00 06/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [23:00:00 06/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: -1 ai: 168 vo: 125 vu: ml t0: [23:00:00 06/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: -1 ai: 210 vo: 85 vu: ml t0: [23:00:00 06/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [23:00:00 06/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 90 vu: ml t0: [00:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [00:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: -1 ai: 168 vo: 125 vu: ml t0: [00:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [00:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 110 vu: ml t0: [01:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [01:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: -1 ai: 168 vo: 125 vu: ml t0: [01:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [01:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml t0: [02:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [02:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: -1 ai: 168 vo: 125 vu: ml t0: [02:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [02:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 50 vu: ml t0: [03:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [03:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: -1 ai: 168 vo: 125 vu: ml t0: [03:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [03:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml t0: [04:00:00 07/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 200 vu: ml t0: [04:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [04:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: -1 ai: 168 vo: 125 vu: ml t0: [04:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [04:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 90 vu: ml
t0: [23:00:00 07/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 cv: 0 ap: none
t0: [05:05:00 07/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.1 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 10.1 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 5.6 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 19.5 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 72.3 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 27.1 u1: % rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8 u1: gm/dl rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 235 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.2 u1: /mic l rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.1 rs: Final st: NotStopd
t0: [05:05:00 07/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 38 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 112 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 133 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 147 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 38 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 112 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 133 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 147 rs: Final st: NotStopd
t0: [05:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [05:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [05:00:00 07/10/2016] id: NBP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [05:00:00 07/10/2016] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 67.3333 u1: mmHg st: NotStopd t0: [05:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 156 u1: kg st: NotStopd t0: [05:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [05:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [06:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Sinus Tachy st: NotStopd t0: [06:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 156 u1: kg st: NotStopd t0: [06:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [06:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [06:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [05:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: -1 ai: 168 vo: 125 vu: ml t0: [05:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [05:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml t0: [06:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2 vu: ml t0: [06:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: -1 ai: 168 vo: 125 vu: ml t0: [06:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 1 vu: ml t0: [06:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 80 vu: ml
t0: [05:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 07/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [06:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 07/10/2016] id: Ativan el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [07:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [07:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [07:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [07:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 75 vu: ml t0: [07:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [07:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 07/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [07:00:00 07/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [07:00:00 07/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [08:30:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:30:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 07/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:30:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:30:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:30:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:30:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [08:30:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:30:00 07/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [08:30:00 07/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [08:30:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:30:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [08:30:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:30:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:30:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 07/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:30:00 07/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [08:30:00 07/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:30:00 07/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:30:00 07/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:30:00 07/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [08:30:00 07/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [08:30:00 07/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:30:00 07/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:30:00 07/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Clear st: NotStopd t0: [08:30:00 07/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [08:30:00 07/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:30:00 07/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:30:00 07/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [08:30:00 07/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:30:00 07/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:30:00 07/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:30:00 07/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:30:00 07/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:30:00 07/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:30:00 07/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:30:00 07/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:30:00 07/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:30:00 07/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:30:00 07/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:30:00 07/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:30:00 07/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:30:00 07/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:30:00 07/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:30:00 07/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:30:00 07/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:30:00 07/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:30:00 07/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:30:00 07/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:30:00 07/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:30:00 07/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:30:00 07/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:30:00 07/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [08:30:00 07/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:30:00 07/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [08:30:00 07/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:30:00 07/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:30:00 07/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [08:30:00 07/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [08:30:00 07/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:30:00 07/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:30:00 07/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:30:00 07/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:30:00 07/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:30:00 07/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [08:30:00 07/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:30:00 07/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:30:00 07/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:30:00 07/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:30:00 07/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:30:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 3 vu: ml t0: [08:30:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 112.5 vu: ml t0: [08:30:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [09:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [09:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 07/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [09:00:00 07/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [09:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [09:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 07/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [09:00:00 07/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [09:00:00 07/10/2016] id: Cuff Pressure-Airway el: 0 cu: MICU cg: RRT u1: cmH2O st: NotStopd t0: [09:00:00 07/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [09:00:00 07/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [09:00:00 07/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 07/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [09:00:00 07/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [09:00:00 07/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3 st: NotStopd t0: [09:00:00 07/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [09:00:00 07/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 07/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [09:00:00 07/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [09:00:00 07/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [09:00:00 07/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [09:00:00 07/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [09:00:00 07/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.9 u1: L/min st: NotStopd t0: [09:00:00 07/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 07/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [09:00:00 07/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [09:00:00 07/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [09:00:00 07/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:00:00 07/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [09:00:00 07/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:00:00 07/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:00:00 07/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 07/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [09:00:00 07/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [09:00:00 07/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [09:00:00 07/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [09:00:00 07/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [09:00:00 07/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [10:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [10:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 07/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [10:00:00 07/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [10:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [10:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 07/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 07/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vu: ml t0: [10:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 3 vu: ml t0: [10:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 187.5 vu: ml t0: [10:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [08:30:00 07/10/2016] tf: [15:58:00 24/10/2016] dt: 24928 id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped t0: [08:30:00 07/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [09:00:00 07/10/2016] id: Insulin el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip t0: [10:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 07/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [12:00:00 07/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [12:00:00 07/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [12:00:00 07/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [12:00:00 07/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 07/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 07/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [12:00:00 07/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3 st: NotStopd t0: [12:00:00 07/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [12:00:00 07/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 07/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [12:00:00 07/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [12:00:00 07/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 07/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 07/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:00:00 07/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.9 u1: L/min st: NotStopd t0: [12:00:00 07/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 07/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 07/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [12:00:00 07/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [12:00:00 07/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 07/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [12:00:00 07/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 07/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 07/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 07/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 07/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 07/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 07/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 07/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [12:00:00 07/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [11:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 07/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [11:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [11:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 07/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 07/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [11:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [11:00:00 07/10/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Thoracentesis st: NotStopd t0: [11:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 07/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 07/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: Off st: NotStopd t0: [12:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 07/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 07/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 07/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [12:00:00 07/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 07/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 07/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 07/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 07/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 07/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Clear st: NotStopd t0: [12:00:00 07/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [12:00:00 07/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [12:00:00 07/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [12:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 07/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 07/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [12:00:00 07/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 07/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 07/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 07/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [12:00:00 07/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 07/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 07/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 07/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 07/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 07/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 07/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 07/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 07/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 07/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [12:00:00 07/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 47.3333 u1: mmHg st: NotStopd t0: [12:00:00 07/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 07/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 07/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 07/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 07/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 07/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 07/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 07/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 07/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [12:00:00 07/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 07/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 07/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 07/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 07/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 07/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 07/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 07/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 07/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [12:00:00 07/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 07/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 07/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [12:00:00 07/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [12:00:00 07/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 07/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 07/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 07/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 07/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 07/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 07/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 07/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 07/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [12:00:00 07/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 07/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 07/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 07/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [12:00:00 07/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 07/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [12:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 4 vu: ml t0: [12:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 300 vu: ml t0: [12:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [11:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 07/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [12:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 07/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [05:05:00 07/10/2016] id: Total Protein Chemistry el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: LDH Enzymes el: 0 cu: MICU cg: 1663 v1: 261 rs: Final st: NotStopd t0: [05:05:00 07/10/2016] id: Total Protein(6.5-8) Chemistry el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd
t0: [12:00:00 07/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 147 rs: Manual st: NotStopd t0: [13:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 07/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [13:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 07/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [13:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [13:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 07/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [13:00:00 07/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 56.6667 u1: mmHg st: NotStopd t0: [13:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [13:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:00:00 07/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 07/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 07/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [13:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [13:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [13:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [13:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 07/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [14:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [14:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 07/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [14:00:00 07/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 54.6667 u1: mmHg st: NotStopd t0: [14:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [14:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 07/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [14:00:00 07/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT u1: torr st: NotStopd t0: [14:00:00 07/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT st: NotStopd t0: [14:00:00 07/10/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT u1: lpm st: NotStopd
t0: [07:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml st: NotStopd t0: [09:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [12:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 3 vu: ml t0: [14:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [14:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [14:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [14:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [15:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [15:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 07/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [15:00:00 07/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 56.3333 u1: mmHg st: NotStopd t0: [15:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [15:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:00:00 07/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 07/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [15:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [15:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [15:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [15:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 07/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [14:00:00 07/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 07/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 07/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: Off st: NotStopd t0: [16:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 07/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 07/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 07/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [16:00:00 07/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 07/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 07/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 07/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 07/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 07/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Clear st: NotStopd t0: [16:00:00 07/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [16:00:00 07/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [16:00:00 07/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [16:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 07/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 07/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [16:00:00 07/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 07/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 07/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 07/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 07/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 07/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 07/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 07/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 07/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 07/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 07/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [16:00:00 07/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 56.6667 u1: mmHg st: NotStopd t0: [16:00:00 07/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 07/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 07/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 07/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 07/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 07/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [16:00:00 07/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 07/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 07/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 07/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 07/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 07/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 07/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 07/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 07/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 07/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [16:00:00 07/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [16:00:00 07/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 07/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 07/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [16:00:00 07/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [16:00:00 07/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 07/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [16:00:00 07/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 07/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 07/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 07/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 07/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 07/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [16:00:00 07/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 07/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 07/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 07/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 07/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [16:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [16:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [16:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [16:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 07/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [16:00:00 07/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [16:00:00 07/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [16:00:00 07/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [16:00:00 07/10/2016] id: ETT Position Change el: 0 cu: MICU cg: RRT v1: Not Done st: NotStopd t0: [16:00:00 07/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 07/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 07/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [16:00:00 07/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3 st: NotStopd t0: [16:00:00 07/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 8.5 mm st: NotStopd t0: [16:00:00 07/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 07/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [16:00:00 07/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:00:00 07/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 07/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 07/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [16:00:00 07/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [16:00:00 07/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 07/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 07/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [16:00:00 07/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [16:00:00 07/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:00:00 07/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [16:00:00 07/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 07/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 07/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 495 u1: ml/B st: NotStopd t0: [16:00:00 07/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 07/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 07/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 07/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 92 u1: BPM st: NotStopd t0: [17:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 07/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 92 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [17:00:00 07/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 47.3333 u1: mmHg st: NotStopd t0: [17:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [17:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:00:00 07/10/2016] id: Significant Events el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 07/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [17:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [17:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [17:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [17:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
tf: [17:00:00 08/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 18 dn: 1 m1: Pancuronium Bromide v1: 10 u1: mg
t0: [19:00:00 07/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [19:00:00 07/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [19:00:00 07/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [19:00:00 07/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [19:00:00 07/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [19:00:00 07/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [19:00:00 07/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [19:00:00 07/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [19:00:00 07/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [19:00:00 07/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [19:00:00 07/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [19:00:00 07/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.5 u1: L/min st: NotStopd t0: [19:00:00 07/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [19:00:00 07/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [19:00:00 07/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [19:00:00 07/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [19:00:00 07/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [19:00:00 07/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [19:00:00 07/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [19:00:00 07/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 402 u1: ml/B st: NotStopd t0: [19:00:00 07/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [19:00:00 07/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [19:00:00 07/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [19:00:00 07/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [19:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 07/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Unarousable st: NotStopd t0: [19:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [19:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 07/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 92 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [19:00:00 07/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [19:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [19:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [19:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 92 u1: % st: NotStopd t0: [19:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 07/10/2016] tf: [08:00:00 09/10/2016] dt: 2220 id: thoracentesis el: 1 cu: MICU cg: RN vo: 450 vu: ml
id: OR Crystalloid el: 1 cu: MICU cg: RN io: OR Crystalloid OR Intake du: ml rt: Intravenous Push
t0: [19:00:00 07/10/2016] id: Significant Events el: 0 cu: MICU cg: RN st: NotStopd t0: [20:00:00 07/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 07/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Unarousable st: NotStopd t0: [20:00:00 07/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: Off st: NotStopd t0: [20:00:00 07/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 07/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 07/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [20:00:00 07/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 07/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 07/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 07/10/2016] id: GI Guaiac/ph el: 0 cu: MICU cg: RN v1: Negative v2: 3 st: NotStopd t0: [20:00:00 07/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 07/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 07/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [20:00:00 07/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [20:00:00 07/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [20:00:00 07/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [20:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 07/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 07/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [20:00:00 07/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 07/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [20:00:00 07/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 07/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 07/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 07/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 07/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 07/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 07/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 07/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 07/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 07/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [20:00:00 07/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 07/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 07/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 07/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 07/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 07/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Unresponsive st: NotStopd t0: [20:00:00 07/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 07/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 07/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 07/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 07/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 07/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 93 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [20:00:00 07/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 07/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [20:00:00 07/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 07/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 07/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [20:00:00 07/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 07/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 07/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 07/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 07/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 07/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 07/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 07/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [20:00:00 07/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 07/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 07/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 07/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [20:00:00 07/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [20:00:00 07/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 07/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 07/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Sediment st: NotStopd t0: [20:00:00 07/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 07/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 07/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Unresponsive st: NotStopd t0: [20:00:00 07/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 07/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 07/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 07/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 07/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 07/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 07/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 8 u1: number st: NotStopd t0: [20:00:00 07/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Comp. Limited st: NotStopd
t0: [19:00:00 07/10/2016] tf: [08:00:00 09/10/2016] dt: 2220 id: OR Crystalloid OR Intake el: 1 cu: MICU cg: RN ai: 274 vo: 850 vu: ml t0: [19:00:00 07/10/2016] tf: [08:00:00 09/10/2016] dt: 2220 id: OR Out OR Urine el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [20:00:00 07/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [20:00:00 07/10/2016] tf: [08:00:00 08/10/2016] dt: 720 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [20:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [20:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 0 vu: ml t0: [20:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [20:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 10 vu: ml
t0: [20:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 07/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [20:00:00 07/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml
t0: [20:00:00 07/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:28:00 07/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 26.2 u1: % rs: Final st: NotStopd t0: [21:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [21:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 07/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 94 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [21:00:00 07/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [21:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [21:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 07/10/2016] tf: [12:00:00 09/10/2016] dt: 2340 id: D5W IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [21:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [21:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [21:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 15 vu: ml
t0: [21:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 07/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [22:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [22:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 07/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [22:00:00 07/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [22:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [22:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 07/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 07/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [22:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [22:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [22:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 10 vu: ml
t0: [22:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 07/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 07/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 70 ap: none
t0: [20:28:00 07/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 36 rs: Final st: NotStopd t0: [20:28:00 07/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [20:28:00 07/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [20:28:00 07/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 137 rs: Final st: NotStopd t0: [20:28:00 07/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [20:28:00 07/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd t0: [20:28:00 07/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 36 rs: Final st: NotStopd t0: [20:28:00 07/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [20:28:00 07/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [20:28:00 07/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [20:28:00 07/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 137 rs: Final st: NotStopd t0: [20:28:00 07/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [20:28:00 07/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [23:00:00 07/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 07/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 07/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 07/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 07/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 07/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [23:00:00 07/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 07/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [23:00:00 07/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [23:00:00 07/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 07/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [23:00:00 07/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [23:00:00 07/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 07/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 07/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [23:00:00 07/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [23:00:00 07/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [23:00:00 07/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml
t0: [23:00:00 07/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 07/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 07/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 20 cv: 20 ap: none t0: [23:00:00 07/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -10 cv: -10 ap: none t0: [23:00:00 07/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 10 cv: 2834 ap: none t0: [23:00:00 07/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 10 cv: 3754 ap: none t0: [23:00:00 07/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 20 cv: 1415 ap: none t0: [23:00:00 07/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -10 cv: 1689 ap: none t0: [23:00:00 07/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 20 cv: 2065 ap: none
t0: [00:00:00 08/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [00:00:00 08/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [00:00:00 08/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [00:00:00 08/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 08/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 08/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [00:00:00 08/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [00:00:00 08/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 08/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:00:00 08/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 08/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 08/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [00:00:00 08/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.4 u1: L/min st: NotStopd t0: [00:00:00 08/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 08/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 08/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 08/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [00:00:00 08/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [00:00:00 08/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 08/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:00:00 08/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 409 u1: ml/B st: NotStopd t0: [00:00:00 08/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 08/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 08/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 08/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 08/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 08/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Unarousable st: NotStopd t0: [00:00:00 08/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: Off st: NotStopd t0: [00:00:00 08/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 08/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 08/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 08/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 08/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 08/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 08/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 08/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 08/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Yellow st: NotStopd t0: [00:00:00 08/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [00:00:00 08/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [00:00:00 08/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [00:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 08/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 08/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 08/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [00:00:00 08/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 08/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [00:00:00 08/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 08/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 08/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 08/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 08/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 08/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 08/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 08/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 08/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 08/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 08/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 08/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 08/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 08/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 08/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Unresponsive st: NotStopd t0: [00:00:00 08/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 08/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 08/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 08/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 08/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 08/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 08/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 08/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 08/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [00:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 08/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 08/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [00:00:00 08/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 08/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 08/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 08/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/10/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [00:00:00 08/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [00:00:00 08/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 08/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 08/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 08/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 08/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 08/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 08/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [00:00:00 08/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [00:00:00 08/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 08/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 08/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [00:00:00 08/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 08/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 08/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Unresponsive st: NotStopd t0: [00:00:00 08/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 105 rs: Manual st: NotStopd t0: [00:00:00 08/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 08/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 100 vu: ml t0: [00:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [00:00:00 08/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [00:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [00:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [00:30:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 0 vu: ml nb: 1
t0: [01:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [01:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [01:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [01:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 08/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [01:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [01:00:00 08/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [01:00:00 08/10/2016] tf: [23:30:00 09/10/2016] dt: 2790 id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 22.5 vu: ml t0: [01:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [01:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [01:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [02:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [02:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 08/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [02:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [02:00:00 08/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 45 vu: ml t0: [02:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [02:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [02:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [03:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [03:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [03:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [03:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [03:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 08/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [03:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [03:00:00 08/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [03:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 45 vu: ml t0: [03:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [03:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [03:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 08/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 08/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -5 cv: -5 ap: none t0: [23:00:00 08/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 10 cv: 740 ap: none t0: [23:00:00 08/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 95 cv: 2337.5 ap: none t0: [23:00:00 08/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 85 cv: 1452.5 ap: none t0: [23:00:00 08/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 100 cv: 1690 ap: none t0: [23:00:00 08/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -5 cv: 647.5 ap: none t0: [23:00:00 08/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 100 cv: 1690 ap: none t0: [23:00:00 08/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -5 cv: 8056.82 ap: carryForward
t0: [04:00:00 08/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 62.5 u1: ml/cmH st: NotStopd t0: [04:00:00 08/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [04:00:00 08/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [04:00:00 08/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 08/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 08/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [04:00:00 08/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [04:00:00 08/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 08/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:00:00 08/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 08/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 08/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [04:00:00 08/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [04:00:00 08/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 08/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 08/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 08/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [04:00:00 08/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 08/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 08/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [04:00:00 08/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [04:00:00 08/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 08/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 08/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 08/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 08/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 08/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Very Sedated st: NotStopd t0: [04:00:00 08/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: Off st: NotStopd t0: [04:00:00 08/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 08/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 08/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 08/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [04:00:00 08/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 08/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 08/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 4 u1: points st: NotStopd t0: [04:00:00 08/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 08/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 08/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 08/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [04:00:00 08/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [04:00:00 08/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [04:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 08/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 08/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 08/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [04:00:00 08/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 08/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [04:00:00 08/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 08/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 08/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 08/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 08/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 08/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 08/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 08/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 08/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 08/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 08/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 08/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 08/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 08/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 08/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 08/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 08/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 08/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 08/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 08/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 08/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [04:00:00 08/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 08/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 08/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 08/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 08/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [04:00:00 08/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 08/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 08/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 08/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 08/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 08/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 08/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 08/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 08/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 08/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 08/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 08/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [04:00:00 08/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [04:00:00 08/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 08/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 08/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [04:00:00 08/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 08/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 08/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 08/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [04:00:00 08/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 08/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 08/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 25 vu: ml t0: [04:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [04:00:00 08/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 45 vu: ml t0: [04:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [04:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [04:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [05:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [05:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 08/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [05:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 08/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [05:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [05:00:00 08/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [05:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 65 vu: ml t0: [05:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [05:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [05:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [04:20:00 08/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 26.7 u1: % rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 7.8 u1: gm/dl rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 218 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.17 u1: /mic l rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd
t0: [04:20:00 08/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 42 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 122 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4.8 u1: mEq/L rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 145 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 42 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 111 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 122 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.8 u1: mEq/L rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 145 rs: Final st: NotStopd
t0: [04:20:00 08/10/2016] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 13.9 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [04:20:00 08/10/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 78.2 rs: Final st: NotStopd
t0: [06:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [06:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [06:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [06:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 08/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 156 u1: kg st: NotStopd t0: [06:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 08/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 125 rs: Manual st: NotStopd
t0: [06:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [06:00:00 08/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 65 vu: ml t0: [06:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [06:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [06:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [06:00:00 08/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: PEEP >10 st: NotStopd
t0: [07:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [07:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [07:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [07:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [07:00:00 08/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [07:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 65 vu: ml t0: [07:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [07:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 55 vu: ml
t0: [07:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
io: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ra: 10 ru: ml/hr
t0: [08:00:00 08/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: MICU cg: -1 ai: 209 vo: 0 st: D/C'd
id: .9% Normal Saline el: 3 cu: MICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [08:00:00 08/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 08/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Very Sedated st: NotStopd t0: [08:00:00 08/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 08/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:00:00 08/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 08/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 08/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 08/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 08/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 08/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [08:00:00 08/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 08/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [08:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 08/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 08/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [08:00:00 08/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 08/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [08:00:00 08/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 08/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 08/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 08/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 08/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 08/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 08/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 08/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 08/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 08/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 08/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 08/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 08/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 08/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 08/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 08/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 08/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [08:00:00 08/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 08/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 08/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 08/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 08/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 08/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 08/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 08/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 08/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 08/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 08/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [08:00:00 08/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [08:00:00 08/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 08/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 08/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 08/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 08/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 08/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [08:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [08:00:00 08/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [08:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 65 vu: ml t0: [08:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [08:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [08:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [08:00:00 08/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [08:00:00 08/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [08:00:00 08/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml
t0: [09:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [09:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [09:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [09:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 08/10/2016] tf: [12:00:00 11/10/2016] dt: 4500 id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [09:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 65 vu: ml t0: [09:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [09:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 45 vu: ml
t0: [09:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [09:45:00 08/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [09:45:00 08/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [09:45:00 08/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [09:45:00 08/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:45:00 08/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [09:45:00 08/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [09:45:00 08/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT st: NotStopd t0: [09:45:00 08/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [09:45:00 08/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [09:45:00 08/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [09:45:00 08/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [09:45:00 08/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [09:45:00 08/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [09:45:00 08/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [09:45:00 08/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.7 u1: L/min st: NotStopd t0: [09:45:00 08/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:45:00 08/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [09:45:00 08/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [09:45:00 08/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [09:45:00 08/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:45:00 08/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [09:45:00 08/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:45:00 08/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:45:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [09:45:00 08/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [09:45:00 08/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [09:45:00 08/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [09:45:00 08/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [09:45:00 08/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [09:45:00 08/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [09:45:00 08/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [10:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [10:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 08/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [10:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 65 vu: ml t0: [10:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [10:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
t0: [10:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [10:00:00 08/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 08/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 08/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [10:00:00 08/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 08/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 08/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 08/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [10:00:00 08/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 08/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 08/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 08/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [11:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [11:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [11:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [11:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [12:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [12:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [12:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 08/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 08/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5556 u1: Deg. C st: NotStopd t0: [12:00:00 08/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.4 u1: Deg. F st: NotStopd t0: [12:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 08/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [12:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 130 vu: ml t0: [12:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [12:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [11:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip t0: [12:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [12:00:00 08/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 152 rs: Manual st: NotStopd
t0: [12:00:00 08/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 150 vu: ml
t0: [13:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [13:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [13:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [14:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [14:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 08/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned st: NotStopd t0: [14:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [15:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [15:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 08/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [14:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 130 vu: ml t0: [14:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [15:00:00 08/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [15:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 65 vu: ml t0: [15:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [15:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [13:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip t0: [14:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip t0: [15:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [14:00:00 08/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 08/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 08/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [16:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 08/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 08/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 08/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 08/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 08/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [16:00:00 08/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 08/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to RN st: NotStopd t0: [16:00:00 08/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 08/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 08/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 08/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 08/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [16:00:00 08/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [16:00:00 08/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [16:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 08/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 08/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 08/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [16:00:00 08/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 08/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [16:00:00 08/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 08/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 08/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 08/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [16:00:00 08/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 08/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 08/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 08/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 08/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 08/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 08/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 08/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 08/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 08/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 08/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 08/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [16:00:00 08/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 08/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 08/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 08/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 08/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 08/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 08/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 08/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 08/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 08/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [16:00:00 08/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [16:00:00 08/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 08/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 08/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [16:00:00 08/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 08/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 08/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 08/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 08/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [16:00:00 08/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 08/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 08/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 08/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [16:00:00 08/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 08/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 08/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 08/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [16:00:00 08/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [16:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 65 vu: ml t0: [16:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [16:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [16:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [16:00:00 08/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [16:55:00 08/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [16:55:00 08/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [16:55:00 08/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [16:55:00 08/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:55:00 08/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:55:00 08/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [16:55:00 08/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.0 st: NotStopd t0: [16:55:00 08/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [16:55:00 08/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:55:00 08/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.2 u1: Deg. C st: NotStopd t0: [16:55:00 08/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:55:00 08/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [16:55:00 08/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:55:00 08/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [16:55:00 08/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [16:55:00 08/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:55:00 08/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:55:00 08/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [16:55:00 08/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [16:55:00 08/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:55:00 08/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [16:55:00 08/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:55:00 08/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:55:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [16:55:00 08/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 506 u1: ml/B st: NotStopd t0: [16:55:00 08/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:55:00 08/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:55:00 08/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:55:00 08/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd t0: [17:00:00 08/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [17:00:00 08/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [17:00:00 08/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [17:00:00 08/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd
t0: [17:30:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:30:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:30:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [17:30:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:30:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [17:30:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:30:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:30:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:30:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 08/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd
t0: [17:30:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:30:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [18:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [18:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 08/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 153 rs: Manual st: NotStopd
t0: [18:00:00 08/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [18:00:00 08/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [18:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 130 vu: ml t0: [18:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [18:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [18:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [19:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [19:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [19:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [19:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [19:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 08/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [19:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 65 vu: ml t0: [19:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [19:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [19:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [20:00:00 08/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 08/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 08/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 08/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: Off st: NotStopd t0: [20:00:00 08/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 08/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 08/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 08/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [20:00:00 08/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 08/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 08/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 08/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [20:00:00 08/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [20:00:00 08/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [20:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 08/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 08/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [20:00:00 08/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 08/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [20:00:00 08/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 08/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 08/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 08/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [20:00:00 08/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 08/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 08/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 08/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 08/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 08/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [20:00:00 08/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 08/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 08/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 08/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 08/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 08/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 08/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [20:00:00 08/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [20:00:00 08/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 08/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 08/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 08/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 08/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 08/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [20:00:00 08/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 08/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 08/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 08/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 08/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 08/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 08/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 08/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.8889 u1: Deg. C st: NotStopd t0: [20:00:00 08/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102 u1: Deg. F st: NotStopd t0: [20:00:00 08/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 08/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 08/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 08/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 08/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 08/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 08/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 08/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 08/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 08/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 08/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 08/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 08/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 08/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 08/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 08/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [20:00:00 08/10/2016] tf: [00:00:00 09/10/2016] dt: 240 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [20:00:00 08/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [20:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 65 vu: ml t0: [20:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [20:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml
t0: [20:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [20:00:00 08/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [20:30:00 08/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: On st: NotStopd
t0: [20:00:00 08/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 08/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd
t0: [21:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [21:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [21:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 08/10/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Pan Cultured st: NotStopd t0: [21:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 08/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [21:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [21:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [21:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [21:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [21:00:00 08/10/2016] id: ETT Mark/Location el: 0 cu: MICU cg: -1 st: D/C'd t0: [21:00:00 08/10/2016] id: ETT Position Change el: 0 cu: MICU cg: -1 st: D/C'd t0: [21:00:00 08/10/2016] id: Extubation Date el: 0 cu: MICU cg: -1 st: D/C'd
t0: [21:00:00 08/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 85 vu: ml
t0: [23:00:00 08/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 145 ap: none
t0: [21:00:00 08/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thin st: NotStopd t0: [21:00:00 08/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [21:30:00 08/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [21:30:00 08/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [21:30:00 08/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [21:30:00 08/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [21:30:00 08/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:30:00 08/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [21:30:00 08/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [21:30:00 08/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [21:30:00 08/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [21:30:00 08/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [21:30:00 08/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [21:30:00 08/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [21:30:00 08/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [21:30:00 08/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [21:30:00 08/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.2 u1: L/min st: NotStopd t0: [21:30:00 08/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:30:00 08/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [21:30:00 08/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [21:30:00 08/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [21:30:00 08/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [21:30:00 08/10/2016] id: Auto-PEEP Level el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:30:00 08/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [21:30:00 08/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [21:30:00 08/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:30:00 08/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:30:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [21:30:00 08/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 588 u1: ml/B st: NotStopd t0: [21:30:00 08/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [21:30:00 08/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [21:30:00 08/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [21:30:00 08/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [21:30:00 08/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [21:30:00 08/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [21:30:00 08/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [21:30:00 08/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [21:30:00 08/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [22:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [22:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [22:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [22:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 08/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 08/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [22:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [22:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [22:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [22:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 08/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 08/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 08/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 08/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 08/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 08/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [23:00:00 08/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 08/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:00:00 08/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [23:00:00 08/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 08/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:00:00 08/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 08/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 08/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 08/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [23:00:00 08/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [23:00:00 08/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [23:00:00 08/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [23:00:00 08/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 08/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [00:00:00 09/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 09/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 09/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: On st: NotStopd t0: [00:00:00 09/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 09/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 09/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 09/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 09/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 09/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 09/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 09/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 09/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [00:00:00 09/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [00:00:00 09/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [00:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 09/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 09/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 09/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [00:00:00 09/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 09/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [00:00:00 09/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 09/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 09/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 09/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 09/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 09/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 09/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 09/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 09/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 09/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 09/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 09/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 09/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 09/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 09/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 09/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 09/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 09/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 09/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [00:00:00 09/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 09/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 09/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 09/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 09/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 09/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 09/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 09/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 09/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 09/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 09/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 09/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 09/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [00:00:00 09/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [00:00:00 09/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 09/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [00:00:00 09/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 09/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 09/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 09/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 09/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 172 rs: Manual st: NotStopd t0: [00:00:00 09/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 09/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [00:00:00 09/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 09/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 09/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [00:00:00 09/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [00:00:00 09/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [00:00:00 09/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [00:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 09/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 1275 ap: none
t0: [01:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [01:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [01:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [01:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 09/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 09/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [01:00:00 09/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [01:00:00 09/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml nb: 1 t0: [01:00:00 09/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [01:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [21:30:00 08/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:05:00 09/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [01:05:00 09/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [01:05:00 09/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [01:05:00 09/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [01:05:00 09/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:05:00 09/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [01:05:00 09/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [01:05:00 09/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [01:05:00 09/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [01:05:00 09/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [01:05:00 09/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [01:05:00 09/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [01:05:00 09/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [01:05:00 09/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:05:00 09/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [01:05:00 09/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.9 u1: L/min st: NotStopd t0: [01:05:00 09/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:05:00 09/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [01:05:00 09/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [01:05:00 09/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [01:05:00 09/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [01:05:00 09/10/2016] id: Auto-PEEP Level el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:05:00 09/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [01:05:00 09/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [01:05:00 09/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:05:00 09/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:05:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [01:05:00 09/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [01:05:00 09/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [01:05:00 09/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 522 u1: ml/B st: NotStopd t0: [01:05:00 09/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [01:05:00 09/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [01:05:00 09/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [01:05:00 09/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [01:05:00 09/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [01:05:00 09/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [01:05:00 09/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [01:05:00 09/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [01:05:00 09/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [02:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [02:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [02:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 09/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 09/10/2016] tf: [15:58:00 24/10/2016] dt: 22438 id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 09/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [02:00:00 09/10/2016] tf: [13:00:00 12/10/2016] dt: 4980 id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [02:00:00 09/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml
t0: [02:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [03:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [03:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [03:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 09/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 09/10/2016] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 2 vu: ml t0: [03:00:00 09/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [03:00:00 09/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [03:00:00 09/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [03:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 09/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 1140 cv: 1140 ap: none t0: [23:00:00 09/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -1042.5 cv: -1042.5 ap: none t0: [23:00:00 09/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 12.5 cv: 1445 ap: none t0: [23:00:00 09/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 97.5 cv: 5135 ap: none t0: [23:00:00 09/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 85 cv: 2040 ap: none t0: [23:00:00 09/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 1140 cv: 3690 ap: none t0: [23:00:00 09/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -1042.5 cv: 1405 ap: none t0: [23:00:00 09/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 1140 cv: 3730 ap: none t0: [23:00:00 09/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -1042.5 cv: 9461.82 ap: carryForward
t0: [04:07:00 09/10/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [04:07:00 09/10/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [04:07:00 09/10/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:07:00 09/10/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [04:07:00 09/10/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 128 u1: mmHg rs: Final st: NotStopd t0: [04:07:00 09/10/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [04:00:00 09/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 09/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 09/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 09/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 09/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 09/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 09/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 09/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [04:00:00 09/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 09/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 09/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 09/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 09/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [04:00:00 09/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [04:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [04:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 09/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 09/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 09/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [04:00:00 09/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 09/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [04:00:00 09/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 09/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 09/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 09/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 09/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 09/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 09/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 09/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 09/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 09/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 09/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 09/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 09/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 09/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 09/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 09/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [04:00:00 09/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 09/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 09/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 09/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 09/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 09/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 09/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 09/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 09/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 09/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [04:00:00 09/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [04:00:00 09/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 09/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 09/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 09/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 09/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 09/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 09/10/2016] tf: [08:00:00 09/10/2016] dt: 240 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [04:00:00 09/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 09/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 25 vu: ml t0: [04:00:00 09/10/2016] tf: [15:58:00 24/10/2016] dt: 22318 id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [04:00:00 09/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [04:00:00 09/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [04:00:00 09/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [04:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [04:00:00 09/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 25.7 u1: % rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 7.8 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 182 rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.08 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.6 rs: Final st: NotStopd
t0: [04:00:00 09/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 43 rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 114 rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 148 rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 43 rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 114 rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:00:00 09/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 148 rs: Final st: NotStopd
t0: [05:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 09/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: Off st: NotStopd t0: [05:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 09/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 09/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [05:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 09/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 09/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 09/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [05:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [05:00:00 09/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [05:00:00 09/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [05:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 09/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 09/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 09/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 09/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 09/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 09/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done
t0: [05:00:00 09/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 09/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [05:00:00 09/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [05:00:00 09/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [05:00:00 09/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [05:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [05:25:00 09/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [05:25:00 09/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [05:25:00 09/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:25:00 09/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:25:00 09/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [05:25:00 09/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [05:25:00 09/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [05:25:00 09/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:25:00 09/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:25:00 09/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [05:25:00 09/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [05:25:00 09/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [05:25:00 09/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [05:25:00 09/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.9 u1: L/min st: NotStopd t0: [05:25:00 09/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:25:00 09/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [05:25:00 09/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [05:25:00 09/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [05:25:00 09/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [05:25:00 09/10/2016] id: Auto-PEEP Level el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [05:25:00 09/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:25:00 09/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [05:25:00 09/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:25:00 09/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:25:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [05:25:00 09/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [05:25:00 09/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [05:25:00 09/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [05:25:00 09/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:25:00 09/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [05:25:00 09/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [05:25:00 09/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [05:25:00 09/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [05:25:00 09/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [05:25:00 09/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [05:25:00 09/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: Exempt per MD st: NotStopd t0: [05:25:00 09/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:25:00 09/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [05:25:00 09/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [05:25:00 09/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd
t0: [05:00:00 09/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [06:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [06:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [06:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 09/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 138 rs: Manual st: NotStopd
t0: [06:00:00 09/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [06:00:00 09/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 09/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [06:00:00 09/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [06:00:00 09/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [06:00:00 09/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [06:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
id: Ativan el: 101 cu: MICU cg: RN io: D5W 40.0ml + 40mghr Ativan IV Infusions am: 40 du: mghr rt: IV Drip
t0: [08:00:00 09/10/2016] id: CVP el: 0 cu: MICU cg: -1 st: D/C'd
id: D5W el: 1 cu: MICU cg: RN io: D5W 40.0ml + 40mghr Ativan IV Infusions vo: 40 du: ml rt: Intravenous Push
t0: [07:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 09/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [07:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 09/10/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 7.0 mm st: NotStopd t0: [07:00:00 09/10/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [07:00:00 09/10/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [07:00:00 09/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RN v1: 12.3 u1: L/min st: NotStopd t0: [07:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [07:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [07:00:00 09/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RN v1: 23 u1: cmH2O st: NotStopd t0: [07:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 09/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:00:00 09/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [07:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [07:00:00 09/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [07:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 09/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [07:00:00 09/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [07:00:00 09/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RN v1: 523 u1: ml/B st: NotStopd t0: [07:00:00 09/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RN v1: 500 u1: ml/B st: NotStopd t0: [07:00:00 09/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RN v1: Assist Control st: NotStopd t0: [07:00:00 09/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [07:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 09/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 09/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 09/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: Off st: NotStopd t0: [08:00:00 09/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 09/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 09/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:00:00 09/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 09/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 09/10/2016] id: GI Guaiac/ph el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 09/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 09/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Other/Remarks st: NotStopd t0: [08:00:00 09/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [08:00:00 09/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 09/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [08:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 09/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 09/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [08:00:00 09/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 09/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [08:00:00 09/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 09/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 09/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 09/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 09/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 09/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 09/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 09/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 09/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 09/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 09/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 09/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 09/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 09/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 09/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 09/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [08:00:00 09/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 82.6667 u1: mmHg st: NotStopd t0: [08:00:00 09/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 09/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 09/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 09/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 09/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 09/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 09/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 09/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 09/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 09/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 09/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [08:00:00 09/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 09/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 09/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 09/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 09/10/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 09/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 09/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 09/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 09/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [08:00:00 09/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [08:00:00 09/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 09/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 09/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 09/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 09/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 09/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 09/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 09/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 09/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 09/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 09/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 09/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 09/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 09/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 09/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 09/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 0 vu: ml t0: [08:00:00 09/10/2016] id: OR Crystalloid OR Intake el: 1 cu: MICU cg: RN ai: 274 vo: 0 vu: ml t0: [08:00:00 09/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [08:00:00 09/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 09/10/2016] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [08:00:00 09/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [08:00:00 09/10/2016] id: total out since mn el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [08:00:00 09/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 4 vu: ml t0: [08:00:00 09/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 60 vu: ml t0: [08:00:00 09/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [08:00:00 09/10/2016] id: thoracentesis el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [08:00:00 09/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [08:00:00 09/10/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [08:00:00 09/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml t0: [08:00:00 09/10/2016] id: Gastric Oral Gastric el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [08:00:00 09/10/2016] id: OR Out OR Urine el: 1 cu: MICU cg: RN vo: 0 vu: ml
t0: [07:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [08:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [09:50:00 09/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [09:50:00 09/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [09:50:00 09/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [09:50:00 09/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [09:50:00 09/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:50:00 09/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [09:50:00 09/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [09:50:00 09/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5.0 st: NotStopd t0: [09:50:00 09/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [09:50:00 09/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [09:50:00 09/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [09:50:00 09/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [09:50:00 09/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [09:50:00 09/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [09:50:00 09/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [09:50:00 09/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.4 u1: L/min st: NotStopd t0: [09:50:00 09/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [09:50:00 09/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [09:50:00 09/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [09:50:00 09/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [09:50:00 09/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [09:50:00 09/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [09:50:00 09/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:50:00 09/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:50:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [09:50:00 09/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [09:50:00 09/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [09:50:00 09/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 508 u1: ml/B st: NotStopd t0: [09:50:00 09/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [09:50:00 09/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [09:50:00 09/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [09:50:00 09/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [09:50:00 09/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [09:50:00 09/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [09:50:00 09/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [09:50:00 09/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [10:48:00 09/10/2016] id: Blood Products Hematology el: 0 cu: MICU cg: 1663 v1: Y rs: Final st: NotStopd
t0: [07:00:00 09/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RN v1: 38.4615 u1: ml/cmH st: NotStopd t0: [07:00:00 09/10/2016] id: PEEP Set el: 0 cu: MICU cg: RN v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [09:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [09:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [09:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [10:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 09/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 09/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [10:00:00 09/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [10:00:00 09/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 09/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [10:00:00 09/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [10:00:00 09/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 09/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [10:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 09/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RN v1: 29.4118 u1: ml/cmH st: NotStopd t0: [11:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 09/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [11:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 09/10/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 7.0 mm st: NotStopd t0: [11:00:00 09/10/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [11:00:00 09/10/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [11:00:00 09/10/2016] id: PEEP Set el: 0 cu: MICU cg: RN v1: 8 u1: cmH2O st: NotStopd t0: [11:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [11:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [11:00:00 09/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RN v1: 25 u1: cmH2O st: NotStopd t0: [11:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 09/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 09/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:00:00 09/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RN v1: 10 u1: BPM st: NotStopd t0: [11:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 09/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [11:00:00 09/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [11:00:00 09/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RN v1: 516 u1: ml/B st: NotStopd t0: [11:00:00 09/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RN v1: 500 u1: ml/B st: NotStopd t0: [11:00:00 09/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RN v1: Assist Control st: NotStopd t0: [11:00:00 09/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [11:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 09/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 09/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 09/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: RN v1: Cooling Blanket v2: Off st: NotStopd t0: [12:00:00 09/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 09/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 09/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 09/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 09/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [12:00:00 09/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 09/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 09/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 09/10/2016] id: GI Guaiac/ph el: 0 cu: MICU cg: RN v1: Negative v2: 6 st: NotStopd t0: [12:00:00 09/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 09/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 09/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [12:00:00 09/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [12:00:00 09/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [12:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 09/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 09/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 09/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [12:00:00 09/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 09/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [12:00:00 09/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 09/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 09/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 09/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 09/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 09/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 09/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 09/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 09/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 09/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [12:00:00 09/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 09/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 09/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 09/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 09/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 09/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 09/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 09/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 09/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 09/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 09/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [12:00:00 09/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 09/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 09/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [12:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 09/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 09/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 09/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 09/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 09/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 09/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [12:00:00 09/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 09/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 09/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 09/10/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 09/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 09/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 09/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 09/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 09/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 09/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 09/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 09/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 09/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 106 rs: Manual st: NotStopd t0: [12:00:00 09/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [12:00:00 09/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 09/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 09/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 09/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 09/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [12:00:00 09/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 09/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 09/10/2016] tf: [18:00:00 09/10/2016] dt: 360 id: Gastric Oral Gastric el: 1 cu: MICU cg: RN vo: 110 vu: ml t0: [11:00:00 09/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 500 vu: ml t0: [12:00:00 09/10/2016] tf: [15:58:00 24/10/2016] dt: 21838 id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [12:00:00 09/10/2016] tf: [18:00:00 09/10/2016] dt: 360 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 274 vo: 0 vu: ml t0: [12:00:00 09/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [12:00:00 09/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [12:00:00 09/10/2016] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [12:00:00 09/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [12:00:00 09/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 0 vu: ml t0: [12:00:00 09/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 8 vu: ml t0: [12:00:00 09/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [12:00:00 09/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 340 vu: ml t0: [12:00:00 09/10/2016] id: thoracentesis el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [12:00:00 09/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [12:00:00 09/10/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [12:00:00 09/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 250 vu: ml t0: [12:00:00 09/10/2016] id: Gastric Oral Gastric el: 1 cu: MICU cg: RN vo: 20 vu: ml
t0: [09:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [10:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [11:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [12:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [12:00:00 09/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 09/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [12:00:00 09/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [13:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [13:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [13:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [13:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 09/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [13:00:00 09/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [13:00:00 09/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [13:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:15:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:15:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:15:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:15:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:15:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:15:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [13:15:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:15:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:15:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [13:15:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:15:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:15:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:15:00 09/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [13:15:00 09/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [13:15:00 09/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [13:15:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 09/10/2016] id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml nb: 1
t0: [13:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [13:15:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:15:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [15:25:00 09/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [15:25:00 09/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [15:25:00 09/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [15:25:00 09/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [15:25:00 09/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:25:00 09/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:25:00 09/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [15:25:00 09/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5.0 st: NotStopd t0: [15:25:00 09/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [15:25:00 09/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [15:25:00 09/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.1 u1: Deg. C st: NotStopd t0: [15:25:00 09/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [15:25:00 09/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [15:25:00 09/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [15:25:00 09/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [15:25:00 09/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.9 u1: L/min st: NotStopd t0: [15:25:00 09/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [15:25:00 09/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [15:25:00 09/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [15:25:00 09/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [15:25:00 09/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [15:25:00 09/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [15:25:00 09/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:25:00 09/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:25:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [15:25:00 09/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [15:25:00 09/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [15:25:00 09/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 488 u1: ml/B st: NotStopd t0: [15:25:00 09/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [15:25:00 09/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [15:25:00 09/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [15:25:00 09/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [15:25:00 09/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [15:25:00 09/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [15:25:00 09/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [15:25:00 09/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [17:50:00 09/10/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [17:50:00 09/10/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [17:50:00 09/10/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [17:50:00 09/10/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [17:50:00 09/10/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 123 u1: mmHg rs: Final st: NotStopd t0: [17:50:00 09/10/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [18:00:00 09/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: -1 ai: 168 vo: 0 st: D/C'd
t0: [14:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [14:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 09/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 09/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [14:00:00 09/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [14:00:00 09/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 09/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [14:00:00 09/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [14:00:00 09/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [14:00:00 09/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [14:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [14:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 09/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 09/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [14:00:00 09/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [14:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [15:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [15:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 09/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 09/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [15:00:00 09/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [15:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 09/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 09/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 09/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 09/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 09/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 09/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [16:00:00 09/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 09/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 09/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 09/10/2016] id: GI Guaiac/ph el: 0 cu: MICU cg: RN v1: Negative v2: 6 st: NotStopd t0: [16:00:00 09/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [16:00:00 09/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 09/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [16:00:00 09/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [16:00:00 09/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [16:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 09/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 09/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 09/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [16:00:00 09/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 09/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [16:00:00 09/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 09/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 09/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 09/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 09/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 09/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 09/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 09/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 09/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 09/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [16:00:00 09/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 09/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 09/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 09/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 09/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 09/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 09/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 09/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:00:00 09/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [16:00:00 09/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 09/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 09/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 09/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 09/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 09/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 09/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 09/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 09/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 09/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 09/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 09/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 09/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 09/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 09/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [16:00:00 09/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [16:00:00 09/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 09/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 09/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 09/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 09/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 09/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 09/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: done t0: [16:00:00 09/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 09/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [16:00:00 09/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 09/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 09/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 09/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 09/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 09/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [16:00:00 09/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [18:00:00 09/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 09/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [18:00:00 09/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [18:00:00 09/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [18:00:00 09/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [18:00:00 09/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [18:00:00 09/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [18:00:00 09/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 09/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 140 rs: Manual st: NotStopd
t0: [11:00:00 09/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [13:00:00 09/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [14:00:00 09/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [14:00:00 09/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [14:00:00 09/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [16:00:00 09/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [16:00:00 09/10/2016] id: OR Crystalloid OR Intake el: 1 cu: MICU cg: RN ai: 274 vo: 0 vu: ml t0: [16:00:00 09/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [16:00:00 09/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [16:00:00 09/10/2016] tf: [15:58:00 24/10/2016] dt: 21598 id: Packed RBC's IV Infusions el: 1 cu: MICU cg: RN ai: 416 vo: 375 vu: ml t0: [16:00:00 09/10/2016] id: D5W IV Infusions el: 4 cu: MICU cg: RN ai: 168 vo: 0 vu: ml t0: [16:00:00 09/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 8 vu: ml t0: [16:00:00 09/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 0 vu: ml t0: [16:00:00 09/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 340 vu: ml t0: [16:00:00 09/10/2016] id: thoracentesis el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [16:00:00 09/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [16:00:00 09/10/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [16:00:00 09/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 310 vu: ml t0: [16:00:00 09/10/2016] id: Gastric Oral Gastric el: 1 cu: MICU cg: RN vo: 20 vu: ml t0: [18:00:00 09/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [18:00:00 09/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 09/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 4 vu: ml t0: [18:00:00 09/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 0 vu: ml t0: [18:00:00 09/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [18:00:00 09/10/2016] id: thoracentesis el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [18:00:00 09/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [18:00:00 09/10/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vo: 0 vu: ml t0: [18:00:00 09/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 210 vu: ml t0: [18:00:00 09/10/2016] id: Gastric Oral Gastric el: 1 cu: MICU cg: RN vo: 0 vu: ml
t0: [14:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [15:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [16:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 09/10/2016] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN cv: 40 ap: none t0: [23:00:00 09/10/2016] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 09/10/2016] dt: 24 id: Blood Products Total el: 2 cu: MICU cg: RN cv: 375 ap: none
t0: [17:30:00 09/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 27.8 u1: % rs: Final st: NotStopd
t0: [17:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [17:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [17:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [18:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [18:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 09/10/2016] id: Previous Weight el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [18:00:00 09/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [18:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 09/10/2016] id: BSA - English el: 0 cu: MICU cg: RN v1: 1.88855 u1: m2 st: NotStopd t0: [18:00:00 09/10/2016] id: BSA - Metric el: 0 cu: MICU cg: RN v1: 2.18492 u1: m2 st: NotStopd t0: [18:00:00 09/10/2016] id: Weight Change el: 0 cu: MICU cg: RN v1: 0 u1: kg st: NotStopd t0: [18:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 09/10/2016] id: Daily Weight el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd
t0: [17:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [18:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [17:30:00 09/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd t0: [17:30:00 09/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd
t0: [19:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [19:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [19:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [19:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 09/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [19:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [19:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 09/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 09/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 09/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 09/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [20:00:00 09/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 09/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 09/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 09/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [20:00:00 09/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 09/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 09/10/2016] id: GI Guaiac/ph el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [20:00:00 09/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 09/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 09/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [20:00:00 09/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [20:00:00 09/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [20:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 09/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 09/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 09/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [20:00:00 09/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 09/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [20:00:00 09/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 09/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 09/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 09/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 09/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 09/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 09/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 09/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 09/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 09/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [20:00:00 09/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 09/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 09/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 09/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 09/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 09/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 09/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 09/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [20:00:00 09/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 09/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt st: NotStopd t0: [20:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [20:00:00 09/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 09/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 09/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 09/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [20:00:00 09/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 09/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 09/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [20:00:00 09/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 09/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 09/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 09/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 09/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 09/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 09/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [20:00:00 09/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [20:00:00 09/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 09/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 09/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 09/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 09/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 09/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 09/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 09/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 09/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 09/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 09/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 09/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 09/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 09/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 09/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [20:00:00 09/10/2016] tf: [20:00:00 10/10/2016] dt: 1440 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 20 vu: ml t0: [20:00:00 09/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 09/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [20:00:00 09/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 4 vu: ml t0: [20:00:00 09/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [20:00:00 09/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [20:00:00 09/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [19:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [20:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
tf: [20:00:00 10/10/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 21 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml tf: [20:00:00 10/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Furosemide v1: 80 u1: mg
t0: [21:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [21:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [21:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [21:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 09/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [21:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 09/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 09/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [21:00:00 09/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [21:00:00 09/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [21:00:00 09/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [21:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [21:00:00 09/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [21:25:00 09/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [21:25:00 09/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [21:25:00 09/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [21:25:00 09/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [21:25:00 09/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:25:00 09/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [21:25:00 09/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [21:25:00 09/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [21:25:00 09/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [21:25:00 09/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [21:25:00 09/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [21:25:00 09/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [21:25:00 09/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [21:25:00 09/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [21:25:00 09/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [21:25:00 09/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [21:25:00 09/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [21:25:00 09/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [21:25:00 09/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [21:25:00 09/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [21:25:00 09/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [21:25:00 09/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [21:25:00 09/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [21:25:00 09/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:25:00 09/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:25:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [21:25:00 09/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 561 u1: ml/B st: NotStopd t0: [21:25:00 09/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [21:25:00 09/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [21:25:00 09/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [21:25:00 09/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [21:25:00 09/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [21:25:00 09/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [21:25:00 09/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [21:25:00 09/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [21:25:00 09/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [21:45:00 09/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [22:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [22:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 155 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [22:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [22:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 09/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [22:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 09/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 09/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 09/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [22:00:00 09/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [22:00:00 09/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [22:00:00 09/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [22:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 09/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 09/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 09/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 09/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 09/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 09/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [23:00:00 09/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 09/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:00:00 09/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [23:00:00 09/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 09/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [23:00:00 09/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [23:00:00 09/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 09/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 09/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 09/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [23:00:00 09/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [23:00:00 09/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [23:00:00 09/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 1140 vu: ml
t0: [23:00:00 09/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 09/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [00:00:00 10/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 10/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 10/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 10/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [00:00:00 10/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 10/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 10/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 10/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 10/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 10/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 10/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 10/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 10/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [00:00:00 10/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [00:00:00 10/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [00:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 10/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 10/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 10/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [00:00:00 10/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 10/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [00:00:00 10/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 10/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 10/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 10/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 10/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 10/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 10/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 10/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 10/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 10/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 10/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 10/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 10/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 10/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 10/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 10/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 10/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 10/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 10/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 10/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [00:00:00 10/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 10/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 10/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [00:00:00 10/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 10/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 10/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [00:00:00 10/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 10/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 10/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 10/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 10/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 10/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 10/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6667 u1: Deg. C st: NotStopd t0: [00:00:00 10/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.6 u1: Deg. F st: NotStopd t0: [00:00:00 10/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 10/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 10/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Sediment st: NotStopd t0: [00:00:00 10/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 10/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 10/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 10/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 152 rs: Manual st: NotStopd t0: [00:00:00 10/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [23:30:00 09/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 42.5 vu: ml st: Stopped t0: [00:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 10/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 55 vu: ml t0: [00:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [00:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.5 vu: ml t0: [00:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 1050 vu: ml
t0: [00:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 10/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 1220 ap: none t0: [23:00:00 10/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN cv: 42.5 ap: none
t0: [01:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [01:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [01:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [01:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [01:00:00 10/10/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Blood Cultured st: NotStopd t0: [01:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [01:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [01:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [01:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 575 vu: ml
t0: [01:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [01:30:00 10/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [01:30:00 10/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [01:30:00 10/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [01:30:00 10/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [01:30:00 10/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:30:00 10/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [01:30:00 10/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [01:30:00 10/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [01:30:00 10/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [01:30:00 10/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [01:30:00 10/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [01:30:00 10/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [01:30:00 10/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [01:30:00 10/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:30:00 10/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [01:30:00 10/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.1 u1: L/min st: NotStopd t0: [01:30:00 10/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [01:30:00 10/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [01:30:00 10/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [01:30:00 10/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [01:30:00 10/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [01:30:00 10/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [01:30:00 10/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [01:30:00 10/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:30:00 10/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:30:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [01:30:00 10/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 485 u1: ml/B st: NotStopd t0: [01:30:00 10/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [01:30:00 10/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [01:30:00 10/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [01:30:00 10/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [01:30:00 10/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [01:30:00 10/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [01:30:00 10/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [01:30:00 10/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [01:30:00 10/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [01:30:00 10/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [01:30:00 10/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd
t0: [02:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [02:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [02:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [02:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [02:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [02:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 380 vu: ml
t0: [02:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [03:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [03:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [03:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [03:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [03:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [03:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [03:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 10/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 160 cv: 160 ap: none t0: [23:00:00 10/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -147 cv: -147 ap: none t0: [23:00:00 10/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 13 cv: 961.5 ap: none t0: [23:00:00 10/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 13 cv: 2224 ap: none t0: [23:00:00 10/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 160 cv: 4780 ap: none t0: [23:00:00 10/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -147 cv: -2556 ap: none t0: [23:00:00 10/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 160 cv: 4780 ap: none t0: [23:00:00 10/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -147 cv: 6905.82 ap: carryForward
t0: [04:18:00 10/10/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [04:18:00 10/10/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:18:00 10/10/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:18:00 10/10/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [04:18:00 10/10/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 103 u1: mmHg rs: Final st: NotStopd t0: [04:18:00 10/10/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [04:00:00 10/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 10/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 10/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [04:00:00 10/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 10/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 10/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 10/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [04:00:00 10/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 10/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 10/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 10/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 10/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 10/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [04:00:00 10/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [04:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [04:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 10/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 10/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 10/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [04:00:00 10/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 10/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [04:00:00 10/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 10/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 10/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 10/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 10/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 10/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 10/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 10/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 10/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 10/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 10/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 10/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 10/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 10/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 10/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 10/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 10/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 10/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [04:00:00 10/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 10/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 10/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 10/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 10/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 10/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 10/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 10/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 10/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [04:00:00 10/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [04:00:00 10/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Sediment st: NotStopd t0: [04:00:00 10/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 10/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 10/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 10/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 10/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [04:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [04:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [04:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [04:10:00 10/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 39 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Albumin Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 107 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 123 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 22 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 35 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 63 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Amylase Enzymes el: 0 cu: MICU cg: 1663 v1: 65 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 39 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 107 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 123 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: LDH Enzymes el: 0 cu: MICU cg: 1663 v1: 295 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd
t0: [05:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 10/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 10/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [05:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 10/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 10/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 10/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [05:00:00 10/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [05:00:00 10/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [05:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 10/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [05:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [05:00:00 10/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 10/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 10/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 10/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 10/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done
t0: [05:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [05:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [05:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [05:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [04:10:00 10/10/2016] id: PT el: 0 cu: MICU cg: 1663 v1: 13.9 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 28.3 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.9 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 28.3 rs: Final st: NotStopd
t0: [05:00:00 10/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [05:00:00 10/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [05:00:00 10/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [05:00:00 10/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: Exempt per MD st: NotStopd t0: [05:00:00 10/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [05:00:00 10/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:00:00 10/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:00:00 10/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [05:00:00 10/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [05:00:00 10/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [05:00:00 10/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:00:00 10/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:00:00 10/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [05:00:00 10/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [05:00:00 10/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [05:00:00 10/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [05:00:00 10/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.8 u1: L/min st: NotStopd t0: [05:00:00 10/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [05:00:00 10/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 10/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [05:00:00 10/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [05:00:00 10/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [05:00:00 10/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [05:00:00 10/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [05:00:00 10/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 10/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 10/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 517 u1: ml/B st: NotStopd t0: [05:00:00 10/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:00:00 10/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [05:00:00 10/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:00:00 10/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [05:00:00 10/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [05:00:00 10/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [05:00:00 10/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 10/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [05:00:00 10/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:10:00 10/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.9 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 7.9 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 29.2 u1: % rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.1 u1: gm/dl rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 203 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.51 u1: /mic l rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.9 rs: Final st: NotStopd
t0: [04:00:00 10/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [05:00:00 10/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd
t0: [05:30:00 10/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [06:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [06:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [06:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [06:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 10/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 125 rs: Manual st: NotStopd
t0: [06:00:00 10/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [06:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [06:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [06:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [06:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [04:00:00 10/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd
t0: [06:30:00 10/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [07:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [07:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [07:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [07:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [07:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [07:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [07:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [07:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [08:00:00 10/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 10/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 10/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [08:00:00 10/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 10/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:00:00 10/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 10/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 10/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 10/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 10/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Other/Remarks st: NotStopd t0: [08:00:00 10/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [08:00:00 10/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [08:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 10/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 10/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [08:00:00 10/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 10/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [08:00:00 10/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 10/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 10/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 10/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 10/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 10/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 10/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 10/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 10/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 10/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 10/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 10/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 10/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 10/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 10/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:00:00 10/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 10/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [08:00:00 10/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 10/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 10/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 10/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 10/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 10/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 10/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 10/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 10/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 10/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 10/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 10/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5556 u1: Deg. C st: NotStopd t0: [08:00:00 10/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.4 u1: Deg. F st: NotStopd t0: [08:00:00 10/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Sediment st: NotStopd t0: [08:00:00 10/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 10/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 10/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 10/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 10/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 10/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 10/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 10/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 10/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 10/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 10/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [08:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [08:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [08:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [09:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [09:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [09:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 10/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 10/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [09:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [09:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [09:00:00 10/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 10/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 10/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 10/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [09:00:00 10/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [09:00:00 10/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 10/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [09:00:00 10/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [09:00:00 10/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 10/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 10/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd
t0: [09:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml nb: 1
t0: [09:30:00 10/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [09:30:00 10/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [09:30:00 10/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [09:30:00 10/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [09:30:00 10/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:30:00 10/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [09:30:00 10/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [09:30:00 10/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5.0 st: NotStopd t0: [09:30:00 10/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [09:30:00 10/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [09:30:00 10/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [09:30:00 10/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [09:30:00 10/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [09:30:00 10/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [09:30:00 10/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [09:30:00 10/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.2 u1: L/min st: NotStopd t0: [09:30:00 10/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [09:30:00 10/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [09:30:00 10/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [09:30:00 10/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [09:30:00 10/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [09:30:00 10/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [09:30:00 10/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:30:00 10/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:30:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [09:30:00 10/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [09:30:00 10/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [09:30:00 10/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 447 u1: ml/B st: NotStopd t0: [09:30:00 10/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [09:30:00 10/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [09:30:00 10/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [09:30:00 10/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [09:30:00 10/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [09:30:00 10/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [09:30:00 10/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [09:30:00 10/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 10/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd
t0: [10:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [10:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [10:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [10:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [10:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [10:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 65 vu: ml
t0: [10:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [11:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [11:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [11:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [11:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 10/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 10/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [11:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [11:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml
t0: [11:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
tf: [12:00:00 10/10/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml tf: [12:00:00 10/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Furosemide v1: 80 u1: mg
t0: [12:00:00 10/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 10/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [12:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 10/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 10/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [12:00:00 10/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 10/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 10/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 10/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [12:00:00 10/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 10/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 10/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [12:00:00 10/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 10/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Clear st: NotStopd t0: [12:00:00 10/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [12:00:00 10/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [12:00:00 10/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 10/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 10/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 10/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [12:00:00 10/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 10/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 10/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [12:00:00 10/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 10/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 10/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 10/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 10/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 10/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 10/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 10/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 10/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [12:00:00 10/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 10/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 10/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 10/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 10/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 10/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 10/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 10/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 10/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 10/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 10/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [12:00:00 10/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 10/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 10/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 10/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 10/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 10/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 10/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 10/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 10/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [12:00:00 10/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5556 u1: Deg. C st: NotStopd t0: [12:00:00 10/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.4 u1: Deg. F st: NotStopd t0: [12:00:00 10/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 10/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 10/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 10/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 135 rs: Manual st: NotStopd t0: [12:00:00 10/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [12:00:00 10/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 10/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [12:00:00 10/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 10/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 10/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 10/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [12:00:00 10/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 10/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [12:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 10/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 255 vu: ml t0: [12:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [12:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [12:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml t0: [12:05:00 10/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 120 vu: ml
t0: [12:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [12:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [12:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [12:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [12:00:00 10/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 10/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:15:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:15:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:15:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:15:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:15:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:15:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [13:15:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:15:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:15:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [13:15:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:15:00 10/10/2016] id: Previous Weight el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [13:15:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [13:15:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:15:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:15:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:45:00 10/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 250 vu: ml t0: [13:15:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 12.5 vu: ml t0: [13:15:00 10/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 250 vu: ml t0: [13:15:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2.5 vu: ml t0: [13:15:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1.25 vu: ml t0: [13:15:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [13:15:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:15:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [14:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [14:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [14:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [14:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 10/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 10/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [14:00:00 10/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 180 vu: ml t0: [14:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 1.5 vu: ml t0: [14:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0.75 vu: ml t0: [14:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [14:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [04:10:00 10/10/2016] id: Total Protein Chemistry el: 0 cu: MICU cg: 1663 v1: 7.3 rs: Final st: NotStopd t0: [04:10:00 10/10/2016] id: Total Protein(6.5-8) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.3 rs: Final st: NotStopd
t0: [12:00:00 10/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [12:00:00 10/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [14:00:00 10/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
t0: [15:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [15:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [15:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [15:00:00 10/10/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: CT scan st: NotStopd t0: [15:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [15:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [15:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [15:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [16:45:00 10/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [16:45:00 10/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 19.2308 u1: ml/cmH st: NotStopd t0: [16:45:00 10/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [16:45:00 10/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 15 t0: [16:45:00 10/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:45:00 10/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:45:00 10/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [16:45:00 10/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5.0 st: NotStopd t0: [16:45:00 10/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [16:45:00 10/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:45:00 10/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [16:45:00 10/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:45:00 10/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [16:45:00 10/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [16:45:00 10/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:45:00 10/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:45:00 10/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [16:45:00 10/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [16:45:00 10/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:45:00 10/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:45:00 10/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:45:00 10/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:45:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 95 u1: % st: NotStopd t0: [16:45:00 10/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:45:00 10/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:45:00 10/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:45:00 10/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [16:45:00 10/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [16:45:00 10/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [16:45:00 10/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:45:00 10/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:45:00 10/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [15:00:00 10/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 10/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [17:00:00 10/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [17:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 10/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [17:00:00 10/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [17:00:00 10/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [17:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 10/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [17:00:00 10/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [17:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 10/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [17:00:00 10/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [17:00:00 10/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [17:00:00 10/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [17:00:00 10/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [17:00:00 10/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 10/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Clear st: NotStopd t0: [17:00:00 10/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [17:00:00 10/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [17:00:00 10/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [17:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 10/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 10/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 10/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [17:00:00 10/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 10/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [17:00:00 10/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [17:00:00 10/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 10/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [17:00:00 10/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 10/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 10/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [17:00:00 10/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [17:00:00 10/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 10/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [17:00:00 10/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [17:00:00 10/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [17:00:00 10/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [17:00:00 10/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [17:00:00 10/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [17:00:00 10/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [17:00:00 10/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 10/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 10/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [17:00:00 10/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [17:00:00 10/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [17:00:00 10/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 10/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 10/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [17:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [17:00:00 10/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [17:00:00 10/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [17:00:00 10/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [17:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 10/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [17:00:00 10/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [17:00:00 10/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [17:00:00 10/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 10/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 10/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [17:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:00:00 10/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 10/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 10/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [17:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 10/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [17:00:00 10/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [17:00:00 10/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [17:00:00 10/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [17:00:00 10/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [17:00:00 10/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:00:00 10/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 10/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [17:00:00 10/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 10/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 10/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [17:00:00 10/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [17:00:00 10/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [17:00:00 10/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 10/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [17:00:00 10/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [17:00:00 10/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [17:00:00 10/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [17:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [17:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 4 vu: ml t0: [17:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [17:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [17:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 10/10/2016] dt: 24 id: Gastric Out Total el: 2 cu: MICU cg: RN cv: 0 ap: none
t0: [16:00:00 10/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 124 rs: Manual st: NotStopd t0: [18:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [18:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [18:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [18:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [18:00:00 10/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 10/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 10/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [18:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [18:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [18:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [18:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [19:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [19:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [19:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [19:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [19:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [19:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [20:00:00 10/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 10/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 10/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [20:00:00 10/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 10/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 10/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [20:00:00 10/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 10/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 10/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [20:00:00 10/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Clear st: NotStopd t0: [20:00:00 10/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [20:00:00 10/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [20:00:00 10/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [20:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 10/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 10/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [20:00:00 10/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 10/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [20:00:00 10/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 10/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 10/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 10/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 10/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 10/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 10/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 10/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 10/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 10/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [20:00:00 10/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 10/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 10/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 10/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 10/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 10/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 10/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 10/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 10/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [20:00:00 10/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 10/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 10/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [20:00:00 10/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 10/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 10/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [20:00:00 10/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 10/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 10/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 10/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 10/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 10/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 10/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2778 u1: Deg. C st: NotStopd t0: [20:00:00 10/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.9 u1: Deg. F st: NotStopd t0: [20:00:00 10/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 10/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 10/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 10/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 10/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 10/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 10/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 10/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 10/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 10/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 10/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 10/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 10/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 10/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 10/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [20:00:00 10/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [20:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 10/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 110 vu: ml t0: [20:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 4 vu: ml t0: [20:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 2 vu: ml t0: [20:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 280 vu: ml
t0: [20:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [21:00:00 10/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [21:00:00 10/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [21:00:00 10/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [21:00:00 10/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [21:00:00 10/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:00:00 10/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [21:00:00 10/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [21:00:00 10/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [21:00:00 10/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [21:00:00 10/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [21:00:00 10/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [21:00:00 10/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [21:00:00 10/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [21:00:00 10/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [21:00:00 10/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [21:00:00 10/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.6 u1: L/min st: NotStopd t0: [21:00:00 10/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [21:00:00 10/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [21:00:00 10/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [21:00:00 10/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [21:00:00 10/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [21:00:00 10/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [21:00:00 10/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [21:00:00 10/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 10/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [21:00:00 10/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [21:00:00 10/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 10/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [21:00:00 10/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [21:00:00 10/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [21:00:00 10/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [21:00:00 10/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [21:00:00 10/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [21:00:00 10/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [21:00:00 10/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 10/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [21:00:00 10/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [21:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [21:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [21:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [21:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [21:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [21:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [22:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [22:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [22:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [22:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 10/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [22:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [22:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [22:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 10/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 10/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 10/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 10/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 10/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 10/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [23:00:00 10/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 10/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [23:00:00 10/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [23:00:00 10/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 10/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [23:00:00 10/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 10/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 10/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 10/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 10/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [23:00:00 10/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [23:00:00 10/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [23:00:00 10/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 10/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [20:00:00 10/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 11/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 11/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 11/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 11/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [00:00:00 11/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 11/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 11/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 11/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 11/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 11/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 11/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [00:00:00 11/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Clear st: NotStopd t0: [00:00:00 11/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [00:00:00 11/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [00:00:00 11/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [00:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 11/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 11/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 11/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [00:00:00 11/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 11/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [00:00:00 11/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 11/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 11/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 11/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 11/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 11/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 11/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 11/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 11/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 11/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 11/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 11/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 11/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 11/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 11/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 11/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 11/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 11/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 11/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 11/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [00:00:00 11/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 11/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 11/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 11/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [00:00:00 11/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 11/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 11/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 11/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 11/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 11/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 11/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 11/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 11/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 11/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [00:00:00 11/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [00:00:00 11/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 11/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 11/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 11/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 11/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 11/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 125 rs: Manual st: NotStopd t0: [00:00:00 11/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 11/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 11/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [00:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [00:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [00:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 11/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 280 ap: none
t0: [00:25:00 11/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [00:25:00 11/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [00:25:00 11/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [00:25:00 11/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [00:25:00 11/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:25:00 11/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:25:00 11/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [00:25:00 11/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5 st: NotStopd t0: [00:25:00 11/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [00:25:00 11/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:25:00 11/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:25:00 11/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:25:00 11/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [00:25:00 11/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:25:00 11/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [00:25:00 11/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.5 u1: L/min st: NotStopd t0: [00:25:00 11/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:25:00 11/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:25:00 11/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:25:00 11/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [00:25:00 11/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 0 u1: . st: NotStopd t0: [00:25:00 11/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:25:00 11/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:25:00 11/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:25:00 11/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:25:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [00:25:00 11/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 509 u1: ml/B st: NotStopd t0: [00:25:00 11/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:25:00 11/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [00:25:00 11/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:25:00 11/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [00:25:00 11/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [00:25:00 11/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [00:25:00 11/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:25:00 11/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [00:25:00 11/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [01:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [01:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [01:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [01:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 11/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [01:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 11/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [01:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [01:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [01:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [02:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [02:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [02:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 11/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [02:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 11/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [02:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [02:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [02:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [03:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [03:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [03:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 11/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [03:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [03:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 11/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [03:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [03:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [03:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [23:00:00 11/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 80 cv: 80 ap: none t0: [23:00:00 11/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -29 cv: -29 ap: none t0: [23:00:00 11/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 51 cv: 950 ap: none t0: [23:00:00 11/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 51 cv: 1230 ap: none t0: [23:00:00 11/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 80 cv: 2140 ap: none t0: [23:00:00 11/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -29 cv: -910 ap: carryForward t0: [23:00:00 11/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 80 cv: 2140 ap: carryForward t0: [23:00:00 11/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -29 cv: 5995.82 ap: carryForward
t0: [04:00:00 11/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 11/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 11/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [04:00:00 11/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 11/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 11/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [04:00:00 11/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 11/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 11/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [04:00:00 11/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 11/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Clear st: NotStopd t0: [04:00:00 11/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [04:00:00 11/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [04:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [04:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 11/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 11/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 11/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [04:00:00 11/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 11/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [04:00:00 11/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 11/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 11/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 11/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 11/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 11/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 11/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 11/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 11/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 11/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 11/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 11/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 11/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 11/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 11/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 11/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 11/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [04:00:00 11/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 11/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [04:00:00 11/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 11/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [04:00:00 11/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 11/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 11/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 11/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 11/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 11/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 11/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 11/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 11/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 11/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 11/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [04:00:00 11/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [04:00:00 11/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 11/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 11/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 11/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 11/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 11/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [04:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [04:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [04:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [03:20:00 11/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.9 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 7.9 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30 u1: % rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.1 u1: gm/dl rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 209 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.56 u1: /mic l rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 7.9 rs: Final st: NotStopd
t0: [03:20:00 11/10/2016] id: PT el: 0 cu: MICU cg: 1663 v1: 14.3 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 30.6 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14.3 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 30.6 rs: Final st: NotStopd
t0: [03:20:00 11/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 110 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 128 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 147 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 110 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 128 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [03:20:00 11/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 147 rs: Final st: NotStopd
t0: [05:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 11/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [05:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 11/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 11/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 11/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [05:00:00 11/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [05:00:00 11/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [05:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 11/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 11/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [05:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 11/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 11/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [05:00:00 11/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [05:00:00 11/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 11/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 11/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 11/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done
t0: [05:00:00 11/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [05:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [05:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [05:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [05:30:00 11/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [05:30:00 11/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [05:30:00 11/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [05:30:00 11/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: RRT v1: Exempt per MD st: NotStopd t0: [05:30:00 11/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [05:30:00 11/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:30:00 11/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:30:00 11/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:30:00 11/10/2016] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:5.0 st: NotStopd t0: [05:30:00 11/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [05:30:00 11/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:30:00 11/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:30:00 11/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [05:30:00 11/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 40 st: NotStopd t0: [05:30:00 11/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [05:30:00 11/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [05:30:00 11/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [05:30:00 11/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [05:30:00 11/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [05:30:00 11/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [05:30:00 11/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [05:30:00 11/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [05:30:00 11/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [05:30:00 11/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:30:00 11/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:30:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [05:30:00 11/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 499 u1: ml/B st: NotStopd t0: [05:30:00 11/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:30:00 11/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:30:00 11/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [05:30:00 11/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [05:30:00 11/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [05:30:00 11/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [05:30:00 11/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [05:30:00 11/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [06:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [06:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [06:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [06:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 11/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [06:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 11/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 132 rs: Manual st: NotStopd
t0: [06:00:00 11/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [06:00:00 11/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [06:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [06:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [06:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [06:10:00 11/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [06:10:00 11/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [06:10:00 11/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [06:10:00 11/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [06:10:00 11/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [06:10:00 11/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [06:10:00 11/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [06:10:00 11/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [06:10:00 11/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [06:10:00 11/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [06:10:00 11/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [06:10:00 11/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [06:10:00 11/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.1 u1: L/min st: NotStopd t0: [06:10:00 11/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [06:10:00 11/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [06:10:00 11/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [06:10:00 11/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [06:10:00 11/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [06:10:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [06:10:00 11/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 532 u1: ml/B st: NotStopd t0: [06:10:00 11/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [06:10:00 11/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [06:10:00 11/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [06:10:00 11/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [06:10:00 11/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [06:10:00 11/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [07:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [07:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [07:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 11/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [07:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 11/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [07:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [07:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [07:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [08:12:00 11/10/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [08:12:00 11/10/2016] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 11.8292 u1: ml/dl st: NotStopd t0: [08:12:00 11/10/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [08:12:00 11/10/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [08:12:00 11/10/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [08:12:00 11/10/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [08:12:00 11/10/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [08:12:00 11/10/2016] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 95 u1: % rs: Final st: NotStopd
t0: [08:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 11/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 11/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 11/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 11/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 11/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 11/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: Salem Sump v2: Right Nare st: NotStopd t0: [08:00:00 11/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 11/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped v2: Clear st: NotStopd t0: [08:00:00 11/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [08:00:00 11/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 11/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [08:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 11/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 11/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 11/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [08:00:00 11/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 11/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [08:00:00 11/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 11/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 11/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 11/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 11/10/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 7.0 mm st: NotStopd t0: [08:00:00 11/10/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [08:00:00 11/10/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [08:00:00 11/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 11/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 11/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 11/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 11/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 11/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 11/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 11/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 11/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [08:00:00 11/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 11/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 11/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RN v1: 39 u1: BPM st: NotStopd t0: [08:00:00 11/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 11/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 11/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [08:00:00 11/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [08:00:00 11/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 11/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 11/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RN v1: CPAP+PS st: NotStopd t0: [08:00:00 11/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [08:00:00 11/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 11/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 11/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [08:00:00 11/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [08:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [08:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml
t0: [08:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [09:00:00 11/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [09:00:00 11/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 11/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [09:00:00 11/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [09:00:00 11/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [09:00:00 11/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [09:00:00 11/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [09:00:00 11/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [09:00:00 11/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [09:00:00 11/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [09:00:00 11/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.6 u1: L/min st: NotStopd t0: [09:00:00 11/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [09:00:00 11/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [09:00:00 11/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [09:00:00 11/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [09:00:00 11/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [09:00:00 11/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [09:00:00 11/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [09:00:00 11/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [09:00:00 11/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [09:00:00 11/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [09:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [09:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [09:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 11/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [09:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 11/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 11/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 120 vu: ml t0: [09:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [09:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml
t0: [09:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
tf: [14:00:00 11/10/2016] pt: Unit Dose rt: NU fr: BID:PRN m1: Oxymetazoline HCl v1: 1 u1: SPRY tf: [14:00:00 11/10/2016] pt: Unit Dose rt: PO fr: ONCE fs: 10 dn: 1 m1: Fluconazole v1: 200 u1: mg tf: [10:00:00 12/10/2016] pt: Unit Dose rt: TP fr: Q72H dn: 0 m1: Fentanyl Patch v1: 50 u1: mcg/hr tf: [09:00:00 18/10/2016] pt: Unit Dose rt: PO fr: Q24H fs: 10 dn: 1 m1: Fluconazole v1: 100 u1: mg
t0: [10:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [10:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [10:00:00 11/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [10:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 11/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 11/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [10:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [10:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [10:00:00 11/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [10:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml nb: 1
t0: [08:00:00 11/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:00:00 11/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 11/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 11/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 11/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 11/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 11/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 11/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 11/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 11/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 11/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 11/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 11/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 11/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 11/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 11/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 11/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 11/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 11/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 11/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [10:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 11/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 11/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [11:00:00 11/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [11:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [11:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 11/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Gtt st: NotStopd t0: [11:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [11:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 11/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [11:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [11:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [11:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 11/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [11:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml
t0: [11:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
io: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ra: 50 ru: ml/hr
id: D5W el: 2 cu: MICU cg: RN io: D5W 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [11:00:00 11/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 130 rs: Manual st: NotStopd
t0: [11:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [12:00:00 11/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml st: Stopped t0: [12:00:00 11/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 0 vu: ml nb: 1
t0: [12:00:00 11/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [12:00:00 11/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 11/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 11/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:00:00 11/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [12:00:00 11/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 11/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 11/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [12:00:00 11/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [12:00:00 11/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [12:00:00 11/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:00:00 11/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 11/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [12:00:00 11/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [12:00:00 11/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [12:00:00 11/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [12:00:00 11/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 11/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [13:50:00 11/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [13:50:00 11/10/2016] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [13:50:00 11/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [13:50:00 11/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [13:50:00 11/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:50:00 11/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [13:50:00 11/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [13:50:00 11/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [13:50:00 11/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [13:50:00 11/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [13:50:00 11/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.6 u1: L/min st: NotStopd t0: [13:50:00 11/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [13:50:00 11/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [13:50:00 11/10/2016] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [13:50:00 11/10/2016] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [13:50:00 11/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [13:50:00 11/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [13:50:00 11/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [13:50:00 11/10/2016] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [13:50:00 11/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:50:00 11/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [13:50:00 11/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [13:50:00 11/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [13:50:00 11/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [13:50:00 11/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [13:50:00 11/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 11/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [14:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 92 u1: % st: NotStopd
t0: [14:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [14:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 11/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 11/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [14:00:00 11/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [14:00:00 11/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [14:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [14:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [14:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 11/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [14:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 11/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 11/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 11/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.7778 u1: Deg. C st: NotStopd t0: [14:00:00 11/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.8 u1: Deg. F st: NotStopd t0: [14:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [14:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [14:00:00 11/10/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large
t0: [23:00:00 11/10/2016] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward
tf: [14:00:00 12/10/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 15 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml tf: [20:00:00 24/10/2016] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 50 u2: ml tf: [20:00:00 24/10/2016] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 80 u1: mEq m2: SW v2: 50 u2: ml tf: [20:00:00 24/10/2016] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 80 u1: mEq m2: SW v2: 50 u2: ml
t0: [16:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [16:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [16:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [16:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 11/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [16:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 11/10/2016] tf: [19:00:00 15/10/2016] dt: 6060 id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 100 vu: ml t0: [14:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 6 vu: ml t0: [14:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 3 vu: ml t0: [15:00:00 11/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [15:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [15:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [16:00:00 11/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [16:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [16:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [16:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [16:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [12:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [12:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [12:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [12:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 11/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [12:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 11/10/2016] id: Significant Events el: 0 cu: MICU cg: RN v1: OR Sent st: NotStopd t0: [12:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 11/10/2016] id: Significant Events el: 0 cu: MICU cg: RN v1: OR Received st: NotStopd
t0: [12:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [16:45:00 11/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [16:45:00 11/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [16:45:00 11/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [16:45:00 11/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:45:00 11/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:45:00 11/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:45:00 11/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [16:45:00 11/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:45:00 11/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:45:00 11/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:45:00 11/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [16:45:00 11/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:45:00 11/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [16:45:00 11/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:45:00 11/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:45:00 11/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [16:45:00 11/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [16:45:00 11/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:45:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:45:00 11/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:45:00 11/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:45:00 11/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [16:45:00 11/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [16:45:00 11/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [16:45:00 11/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:45:00 11/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [16:45:00 11/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 11/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [17:00:00 11/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [17:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [17:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [17:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [17:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 11/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 157.2 u1: kg st: NotStopd t0: [17:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 11/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.7778 u1: Deg. C st: NotStopd t0: [17:00:00 11/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.8 u1: Deg. F st: NotStopd t0: [17:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [16:00:00 11/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 145 rs: Manual st: NotStopd t0: [18:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [18:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [18:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [18:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 11/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [18:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [18:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [20:00:00 11/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: CRT v1: 8 v2: 22 st: NotStopd t0: [20:00:00 11/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 18 t0: [20:00:00 11/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 11/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 11/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 11/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.0 mm st: NotStopd t0: [20:00:00 11/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Tracheostomy st: NotStopd t0: [20:00:00 11/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 11/10/2016] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 11/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [20:00:00 11/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 11/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 13 u1: cmH2O st: NotStopd t0: [20:00:00 11/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 12 u1: L/min st: NotStopd t0: [20:00:00 11/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 11/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [20:00:00 11/10/2016] id: Pressure Support el: 0 cu: MICU cg: CRT v1: 15 u1: . st: NotStopd t0: [20:00:00 11/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 24 u1: BPM st: NotStopd t0: [20:00:00 11/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: CRT v1: 97 u1: % st: NotStopd t0: [20:00:00 11/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: CRT v1: 489 u1: ml/B st: NotStopd t0: [20:00:00 11/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: CRT v1: Yes v2: No st: NotStopd t0: [20:00:00 11/10/2016] id: Trach Size el: 0 cu: MICU cg: CRT v1: #7 st: NotStopd t0: [20:00:00 11/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: CRT v1: Inflated st: NotStopd t0: [20:00:00 11/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: CRT v1: Shiley st: NotStopd t0: [20:00:00 11/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CPAP+PS st: NotStopd t0: [20:00:00 11/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [20:00:00 11/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [19:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [19:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [19:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [19:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [20:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [20:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 11/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 11/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5556 u1: Deg. C st: NotStopd t0: [20:00:00 11/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.4 u1: Deg. F st: NotStopd t0: [20:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [21:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [21:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 11/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 150 vu: ml t0: [19:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 6 vu: ml t0: [19:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 3 vu: ml t0: [20:00:00 11/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [20:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [20:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [20:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml t0: [21:00:00 11/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [21:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [21:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [21:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [19:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [20:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip t0: [21:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
t0: [22:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [22:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 11/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [22:00:00 11/10/2016] id: D5W 40.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU cg: RN ai: 153 vo: 2 vu: ml t0: [22:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [22:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [22:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 11/10/2016] id: Ativan el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 40 su: ml rt: IV Drip
tf: [11:00:00 12/10/2016] pt: Unit Dose rt: IV fr: Q2H fs: 22, 0, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20 dn: 12 m1: Lorazepam v1: 4 u1: mg tf: [21:00:00 15/10/2016] pt: Unit Dose rt: NU fr: BID fs: 10, 22 dn: 2 m1: Oxymetazoline HCl v1: 2 u1: SPRY tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Famotidine v1: 20 u1: mg
t0: [23:00:00 11/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 11/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 11/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 11/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 11/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [23:00:00 11/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 11/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [23:00:00 11/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [23:00:00 11/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 11/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 11/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 11/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 11/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [23:00:00 11/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml
t0: [23:00:00 11/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 12/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -10 cv: 5993.82 ap: carryForward
t0: [20:00:00 11/10/2016] id: Cuff Leak el: 0 cu: MICU cg: CRT v1: No st: NotStopd t0: [00:00:00 12/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: CRT v1: 8 v2: 22 st: NotStopd t0: [00:00:00 12/10/2016] id: Cuff Leak el: 0 cu: MICU cg: CRT v1: No st: NotStopd t0: [00:00:00 12/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 18 t0: [00:00:00 12/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 12/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 12/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 30 u1: BPM st: NotStopd t0: [00:00:00 12/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.0 mm st: NotStopd t0: [00:00:00 12/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Tracheostomy st: NotStopd t0: [00:00:00 12/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 12/10/2016] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 12/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [00:00:00 12/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 12/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 13 u1: cmH2O st: NotStopd t0: [00:00:00 12/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 12.4 u1: L/min st: NotStopd t0: [00:00:00 12/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 12/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [00:00:00 12/10/2016] id: Pressure Support el: 0 cu: MICU cg: CRT v1: 15 u1: . st: NotStopd t0: [00:00:00 12/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 26 u1: BPM st: NotStopd t0: [00:00:00 12/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: CRT v1: 97 u1: % st: NotStopd t0: [00:00:00 12/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: CRT v1: 458 u1: ml/B st: NotStopd t0: [00:00:00 12/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: CRT v1: Yes v2: No st: NotStopd t0: [00:00:00 12/10/2016] id: Trach Size el: 0 cu: MICU cg: CRT v1: #7 st: NotStopd t0: [00:00:00 12/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: CRT v1: Inflated st: NotStopd t0: [00:00:00 12/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: CRT v1: Shiley st: NotStopd t0: [00:00:00 12/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CPAP+PS st: NotStopd t0: [00:00:00 12/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [00:00:00 12/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [00:00:00 12/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 143 rs: Manual st: NotStopd
t0: [19:00:00 11/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [19:00:00 11/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [19:00:00 11/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [19:00:00 11/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [19:00:00 11/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [19:00:00 11/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [19:00:00 11/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [19:00:00 11/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [19:00:00 11/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [19:00:00 11/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [19:00:00 11/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [19:00:00 11/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [19:00:00 11/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [19:00:00 11/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [19:00:00 11/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [19:00:00 11/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [19:00:00 11/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [19:00:00 11/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [19:00:00 11/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [19:00:00 11/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [19:00:00 11/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [19:00:00 11/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [19:00:00 11/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [19:00:00 11/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [19:00:00 11/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [19:00:00 11/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [19:00:00 11/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [19:00:00 11/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [19:00:00 11/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [19:00:00 11/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [19:00:00 11/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [19:00:00 11/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [19:00:00 11/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [19:00:00 11/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [19:00:00 11/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [19:00:00 11/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [19:00:00 11/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [19:00:00 11/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [19:00:00 11/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [19:00:00 11/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 11/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 11/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [19:00:00 11/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [19:00:00 11/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [19:00:00 11/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [19:00:00 11/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [19:00:00 11/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [19:00:00 11/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [19:00:00 11/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [19:00:00 11/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [19:00:00 11/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [19:00:00 11/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [19:00:00 11/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [19:00:00 11/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [19:00:00 11/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [19:00:00 11/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [19:00:00 11/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [19:00:00 11/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [19:00:00 11/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 11/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 11/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 11/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 11/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 11/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [20:00:00 11/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 11/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 11/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 11/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 11/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 11/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 11/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 11/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 11/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [21:00:00 11/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [21:00:00 11/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 11/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 11/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 11/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [23:00:00 11/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [23:00:00 11/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [23:00:00 11/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [23:00:00 11/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [23:00:00 11/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [23:00:00 11/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [23:00:00 11/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [23:00:00 11/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [23:00:00 11/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [23:00:00 11/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [23:00:00 11/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [23:00:00 11/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 11/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [23:00:00 11/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [23:00:00 11/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [23:00:00 11/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [23:00:00 11/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [23:00:00 11/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [23:00:00 11/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [23:00:00 11/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [23:00:00 11/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [23:00:00 11/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 11/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 11/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [23:00:00 11/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [23:00:00 11/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 11/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [23:00:00 11/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [23:00:00 11/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [23:00:00 11/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 11/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [23:00:00 11/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 11/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 11/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [23:00:00 11/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [23:00:00 11/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 11/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [23:00:00 11/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 11/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [23:00:00 11/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [23:00:00 11/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [23:00:00 11/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [23:00:00 11/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [23:00:00 11/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [23:00:00 11/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [23:00:00 11/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 12/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [00:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 12/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 12/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 12/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 12/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [00:00:00 12/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 12/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 12/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 12/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [00:00:00 12/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 12/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [00:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 12/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 12/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 12/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6667 u1: Deg. C st: NotStopd t0: [00:00:00 12/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.6 u1: Deg. F st: NotStopd t0: [00:00:00 12/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 12/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [00:00:00 12/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [01:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [01:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [02:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [02:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 12/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [03:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [03:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 12/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [03:00:00 12/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [03:00:00 12/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [03:00:00 12/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [03:00:00 12/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [03:00:00 12/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [03:00:00 12/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [03:00:00 12/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [03:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 12/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [03:00:00 12/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 12/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 12/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [03:00:00 12/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 12/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [03:00:00 12/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [03:00:00 12/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [03:00:00 12/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [03:00:00 12/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [03:00:00 12/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [03:00:00 12/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [03:00:00 12/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [03:00:00 12/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 12/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 12/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [03:00:00 12/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [03:00:00 12/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 12/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [03:00:00 12/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 12/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [03:00:00 12/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 12/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [03:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 12/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 12/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [03:00:00 12/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [03:00:00 12/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 12/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 12/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [03:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 12/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 12/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 12/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 12/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [03:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 12/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 12/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 12/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [03:00:00 12/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 12/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 12/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 12/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [03:00:00 12/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [03:00:00 12/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [03:00:00 12/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [03:00:00 12/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [03:00:00 12/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [03:00:00 12/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [03:00:00 12/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [03:00:00 12/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [04:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 12/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 12/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 12/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 12/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 12/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [04:00:00 12/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [04:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [04:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 12/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 12/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [04:00:00 12/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [04:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 11/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [00:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [00:00:00 12/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [00:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [01:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [01:00:00 12/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [01:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml t0: [02:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [02:00:00 12/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [02:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml t0: [03:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [03:00:00 12/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [03:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml t0: [04:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [04:00:00 12/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [04:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [00:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 12/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: CRT v1: 8 v2: 22 st: NotStopd t0: [04:00:00 12/10/2016] id: Cuff Leak el: 0 cu: MICU cg: CRT v1: No st: NotStopd t0: [04:00:00 12/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: CRT v1: Exempt per MD st: NotStopd t0: [04:00:00 12/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 18 t0: [04:00:00 12/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 12/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 12/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 30 u1: BPM st: NotStopd t0: [04:00:00 12/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.0 mm st: NotStopd t0: [04:00:00 12/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Tracheostomy st: NotStopd t0: [04:00:00 12/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 12/10/2016] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 12/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [04:00:00 12/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 12/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 12/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 9.9 u1: L/min st: NotStopd t0: [04:00:00 12/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 12/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [04:00:00 12/10/2016] id: Pressure Support el: 0 cu: MICU cg: CRT v1: 15 u1: . st: NotStopd t0: [04:00:00 12/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 21 u1: BPM st: NotStopd t0: [04:00:00 12/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 12/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: CRT v1: 485 u1: ml/B st: NotStopd t0: [04:00:00 12/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: CRT v1: Yes v2: No st: NotStopd t0: [04:00:00 12/10/2016] id: Trach Size el: 0 cu: MICU cg: CRT v1: #7 st: NotStopd t0: [04:00:00 12/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: CRT v1: Inflated st: NotStopd t0: [04:00:00 12/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: CRT v1: Shiley st: NotStopd t0: [04:00:00 12/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CPAP+PS st: NotStopd t0: [04:00:00 12/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd t0: [04:00:00 12/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [05:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [05:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [05:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [05:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 12/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 150 vu: ml t0: [04:00:00 12/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [05:00:00 12/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [05:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [05:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 12/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [06:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 12/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 12/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [06:00:00 12/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 12/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [06:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [06:00:00 12/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [06:00:00 12/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [06:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 12/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 12/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 12/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 12/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [06:00:00 12/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [06:00:00 12/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [06:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 40 vu: ml
t0: [06:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 12/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 120 rs: Manual st: NotStopd
t0: [06:35:00 12/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 112 rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 121 rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 147 rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 112 rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 121 rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 147 rs: Final st: NotStopd
t0: [06:35:00 12/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 6.7 rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 6.7 rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 28.8 u1: % rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.4 u1: gm/dl rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 197 rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.39 u1: /mic l rs: Final st: NotStopd t0: [06:35:00 12/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 6.7 rs: Final st: NotStopd
t0: [07:30:00 12/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [07:30:00 12/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [07:30:00 12/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [07:30:00 12/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [07:30:00 12/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [07:30:00 12/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [07:30:00 12/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [07:30:00 12/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [07:30:00 12/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [07:30:00 12/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [07:30:00 12/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.7 u1: L/min st: NotStopd t0: [07:30:00 12/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [07:30:00 12/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [07:30:00 12/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [07:30:00 12/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [07:30:00 12/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [07:30:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [07:30:00 12/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Green v2: Thick st: NotStopd t0: [07:30:00 12/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [07:30:00 12/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [07:30:00 12/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [07:30:00 12/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [07:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [07:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [07:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [07:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 12/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Other Remarks st: NotStopd t0: [08:00:00 12/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 12/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 12/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:00:00 12/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 12/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 12/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 12/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 12/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [08:00:00 12/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 12/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [08:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 12/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 12/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 12/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 12/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 12/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [08:00:00 12/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 12/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 12/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 12/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [08:00:00 12/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 12/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 12/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 12/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 12/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 12/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 12/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 12/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 12/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 12/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 12/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 12/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 12/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 12/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [08:00:00 12/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 12/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 12/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 12/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 12/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 12/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 12/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 12/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 12/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 12/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 12/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 12/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 12/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 12/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 12/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 12/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 12/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 12/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 12/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 12/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 12/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 12/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [07:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [07:00:00 12/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [08:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [08:00:00 12/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [08:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [07:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 12/10/2016] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 91.4286 u1: units st: NotStopd t0: [08:00:00 12/10/2016] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 91.4286 u1: units st: NotStopd t0: [08:00:00 12/10/2016] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [08:00:00 12/10/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.35 u1: L st: NotStopd
t0: [09:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [09:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [09:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [09:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [09:00:00 12/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [09:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [09:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 12/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [10:00:00 12/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [10:00:00 12/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [10:00:00 12/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [10:00:00 12/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [10:00:00 12/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [10:00:00 12/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [10:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [10:00:00 12/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [10:00:00 12/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Pressure Support st: NotStopd t0: [10:00:00 12/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [10:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [10:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [10:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [10:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [10:00:00 12/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [10:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [10:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [10:44:00 12/10/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [10:44:00 12/10/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [10:44:00 12/10/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [10:44:00 12/10/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [10:44:00 12/10/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 61 u1: mmHg rs: Final st: NotStopd t0: [10:44:00 12/10/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [11:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [11:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [11:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [11:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [11:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 92 u1: % st: NotStopd t0: [11:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [11:00:00 12/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [11:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 85 vu: ml
t0: [11:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [11:00:00 12/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [11:00:00 12/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [11:00:00 12/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.2 u1: Deg. F st: NotStopd
tf: [10:00:00 13/10/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Potassium Phosphate v1: 15 u1: mmol m2: NS v2: 250 u2: ml tf: [20:00:00 24/10/2016] pt: Unit Dose rt: TP fr: Q72H dn: 0 m1: Fentanyl Patch v1: 25 u1: mcg/hr
t0: [11:35:00 12/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [11:35:00 12/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [11:35:00 12/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [11:35:00 12/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [11:35:00 12/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:35:00 12/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [11:35:00 12/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [11:35:00 12/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [11:35:00 12/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [11:35:00 12/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [11:35:00 12/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [11:35:00 12/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.6 u1: L/min st: NotStopd t0: [11:35:00 12/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:35:00 12/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [11:35:00 12/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [11:35:00 12/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [11:35:00 12/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:35:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 92 u1: % st: NotStopd t0: [11:35:00 12/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [11:35:00 12/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [11:35:00 12/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [11:35:00 12/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [11:35:00 12/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [11:35:00 12/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:35:00 12/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [10:00:00 12/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 12/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 12/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [10:00:00 12/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 12/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 12/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [10:00:00 12/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 12/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 12/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 12/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 12/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 12/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 12/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 12/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [12:00:00 12/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 12/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 12/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 12/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 12/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 12/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [12:00:00 12/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [12:00:00 12/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [12:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 12/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 12/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 12/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 12/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 12/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [12:00:00 12/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 12/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 12/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 12/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 12/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 12/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 12/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 12/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 12/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 12/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 12/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 12/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 12/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [12:00:00 12/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 12/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [12:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 12/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 12/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 12/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 12/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 12/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [12:00:00 12/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 12/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 12/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 12/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 12/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 12/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 12/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 12/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 12/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 12/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 12/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 12/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 12/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 12/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 12/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 12/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 12/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 12/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [12:00:00 12/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 1 vu: ml t0: [12:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [12:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [13:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [13:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [13:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [13:00:00 12/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml t0: [13:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 75 vu: ml
t0: [13:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [14:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 12/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [14:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 12/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 12/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 12/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [14:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [14:00:00 12/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 12/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 12/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [14:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 12/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 12/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 120 u1: BPM st: NotStopd t0: [15:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [15:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [15:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 12/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [14:00:00 12/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 250 vu: ml t0: [14:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [14:00:00 12/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: RN ai: 228 vo: 0 vu: ml st: Stopped t0: [14:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [15:00:00 12/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [15:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [15:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 170 vu: ml
t0: [14:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 12/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 12/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 22 st: NotStopd t0: [16:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 12/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 12/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 12/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 12/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [16:00:00 12/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 12/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 12/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 12/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 12/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 12/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 12/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [16:00:00 12/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [16:00:00 12/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 120 u1: BPM st: NotStopd t0: [16:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 12/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 12/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 12/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 12/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 12/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 12/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [16:00:00 12/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 12/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 12/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 12/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 12/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 12/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 12/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 12/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 12/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 12/10/2016] id: Airway Size el: 0 cu: MICU cg: RN v1: 7.0 mm st: NotStopd t0: [16:00:00 12/10/2016] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [16:00:00 12/10/2016] id: Intubation Date el: 0 cu: MICU cg: RN v1: 7 v2: 23 st: NotStopd t0: [16:00:00 12/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 12/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 12/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 12/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 12/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 152 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [16:00:00 12/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [16:00:00 12/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 12/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 12/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 12/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 12/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 12/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 12/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 12/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 12/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 12/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 12/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 12/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [16:00:00 12/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [16:00:00 12/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 12/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RN v1: Yes v2: No st: NotStopd t0: [16:00:00 12/10/2016] id: Trach Size el: 0 cu: MICU cg: RN v1: #7 st: NotStopd t0: [16:00:00 12/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RN v1: Shiley st: NotStopd t0: [16:00:00 12/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 12/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 12/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Drager st: NotStopd t0: [16:00:00 12/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 12/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 12/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 12/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 12/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 12/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 12/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 12/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 12/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [16:00:00 12/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [16:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [16:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [16:30:00 12/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [16:30:00 12/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [16:30:00 12/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [16:30:00 12/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:30:00 12/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:30:00 12/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:30:00 12/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:30:00 12/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [16:30:00 12/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:30:00 12/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.6 u1: L/min st: NotStopd t0: [16:30:00 12/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:30:00 12/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:30:00 12/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [16:30:00 12/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [16:30:00 12/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:30:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [16:30:00 12/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [16:30:00 12/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [16:30:00 12/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [16:30:00 12/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:30:00 12/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [16:30:00 12/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [16:30:00 12/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [16:30:00 12/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:30:00 12/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [17:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [17:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [17:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [17:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [17:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [17:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 12/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 131 rs: Manual st: NotStopd t0: [16:00:00 12/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [18:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 12/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [18:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 12/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 12/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 12/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:00:00 12/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [18:00:00 12/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [18:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 12/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [18:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 12/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 12/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 12/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 129 rs: Manual st: NotStopd
t0: [18:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [18:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 165 vu: ml
t0: [18:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 12/10/2016] tf: [15:00:00 17/10/2016] dt: 7140 id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml t0: [17:00:00 12/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml t0: [18:00:00 12/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml
t0: [20:00:00 12/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: CRT v1: 8 v2: 22 st: NotStopd t0: [20:00:00 12/10/2016] id: Cuff Leak el: 0 cu: MICU cg: CRT v1: No st: NotStopd t0: [20:00:00 12/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 18 t0: [20:00:00 12/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 12/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 12/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 12/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.0 mm st: NotStopd t0: [20:00:00 12/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Tracheostomy st: NotStopd t0: [20:00:00 12/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 33.9 u1: Deg. C st: NotStopd t0: [20:00:00 12/10/2016] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 12/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [20:00:00 12/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 12/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 11.6 u1: L/min st: NotStopd t0: [20:00:00 12/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 12/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [20:00:00 12/10/2016] id: Pressure Support el: 0 cu: MICU cg: CRT v1: 12 u1: . st: NotStopd t0: [20:00:00 12/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 26 u1: BPM st: NotStopd t0: [20:00:00 12/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: CRT v1: 97 u1: % st: NotStopd t0: [20:00:00 12/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: CRT v1: 463 u1: ml/B st: NotStopd t0: [20:00:00 12/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: CRT v1: Yes v2: No st: NotStopd t0: [20:00:00 12/10/2016] id: Trach Size el: 0 cu: MICU cg: CRT v1: #7 st: NotStopd t0: [20:00:00 12/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: CRT v1: Inflated st: NotStopd t0: [20:00:00 12/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: CRT v1: Shiley st: NotStopd t0: [20:00:00 12/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CPAP+PS st: NotStopd t0: [20:00:00 12/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd
t0: [19:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [19:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [19:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [19:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [20:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [20:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 12/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 12/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [20:00:00 12/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [20:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [19:00:00 12/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml t0: [19:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml t0: [20:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [20:00:00 12/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml t0: [20:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [19:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [21:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [21:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [21:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [21:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [22:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [22:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [22:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [22:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [21:00:00 12/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml t0: [21:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [22:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [22:00:00 12/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 30 vu: ml t0: [22:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [21:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 12/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 12/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 100 cv: 2265 ap: none t0: [23:00:00 12/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 100 cv: 2265 ap: none
tf: [11:00:00 13/10/2016] pt: Unit Dose rt: IV fr: Q2H fs: 22, 0, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20 dn: 12 m1: Lorazepam v1: 2 u1: mg
t0: [23:00:00 12/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 12/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 12/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 12/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 12/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 12/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [23:00:00 12/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 12/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [23:00:00 12/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [23:00:00 12/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 12/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 12/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 12/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [00:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [00:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [00:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 13/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 13/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39 u1: Deg. C st: NotStopd t0: [00:00:00 13/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.2 u1: Deg. F st: NotStopd t0: [00:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 12/10/2016] tf: [20:00:00 14/10/2016] dt: 2880 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 15 vu: ml t0: [23:00:00 12/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [23:00:00 12/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 40 vu: ml t0: [00:00:00 13/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [00:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [00:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 40 vu: ml
t0: [23:00:00 12/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 13/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 12/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -10 cv: -10 ap: none t0: [23:00:00 12/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 50 cv: 2013 ap: none t0: [23:00:00 12/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 90 cv: 2263 ap: none t0: [23:00:00 12/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 40 cv: 250 ap: none t0: [23:00:00 12/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -10 cv: -2 ap: none t0: [23:00:00 13/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -1965 cv: -1965 ap: none t0: [23:00:00 13/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 50 cv: 1700 ap: none t0: [23:00:00 13/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 135 cv: 4055 ap: none t0: [23:00:00 13/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 85 cv: 1455 ap: none t0: [23:00:00 13/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -1965 cv: -85 ap: none t0: [23:00:00 13/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -1965 cv: 5908.82 ap: carryForward
t0: [00:00:00 13/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: CRT v1: 8 v2: 22 st: NotStopd t0: [00:00:00 13/10/2016] id: Cuff Leak el: 0 cu: MICU cg: CRT v1: No st: NotStopd t0: [00:00:00 13/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 18 t0: [00:00:00 13/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 13/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 13/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 13/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.0 mm st: NotStopd t0: [00:00:00 13/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Tracheostomy st: NotStopd t0: [00:00:00 13/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 13/10/2016] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 13/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [00:00:00 13/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 13/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 12.6 u1: L/min st: NotStopd t0: [00:00:00 13/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 13/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [00:00:00 13/10/2016] id: Pressure Support el: 0 cu: MICU cg: CRT v1: 12 u1: . st: NotStopd t0: [00:00:00 13/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 25 u1: BPM st: NotStopd t0: [00:00:00 13/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 13/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: CRT v1: 435 u1: ml/B st: NotStopd t0: [00:00:00 13/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: CRT v1: Yes v2: No st: NotStopd t0: [00:00:00 13/10/2016] id: Trach Size el: 0 cu: MICU cg: CRT v1: #7 st: NotStopd t0: [00:00:00 13/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: CRT v1: Inflated st: NotStopd t0: [00:00:00 13/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: CRT v1: Shiley st: NotStopd t0: [00:00:00 13/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CPAP+PS st: NotStopd t0: [00:00:00 13/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd
t0: [01:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [01:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [01:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [01:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [01:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [02:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [02:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [02:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [02:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 13/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 13/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 13/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: CRT v1: 8 v2: 22 st: NotStopd t0: [04:00:00 13/10/2016] id: Cuff Leak el: 0 cu: MICU cg: CRT v1: No st: NotStopd t0: [04:00:00 13/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 18 t0: [04:00:00 13/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 13/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 13/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 13/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.0 mm st: NotStopd t0: [04:00:00 13/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Tracheostomy st: NotStopd t0: [04:00:00 13/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 13/10/2016] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 13/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [04:00:00 13/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 13/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 12.2 u1: L/min st: NotStopd t0: [04:00:00 13/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 13/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [04:00:00 13/10/2016] id: Pressure Support el: 0 cu: MICU cg: CRT v1: 12 u1: . st: NotStopd t0: [04:00:00 13/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 31 u1: BPM st: NotStopd t0: [04:00:00 13/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: CRT v1: 96 u1: % st: NotStopd t0: [04:00:00 13/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: CRT v1: 440 u1: ml/B st: NotStopd t0: [04:00:00 13/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: CRT v1: Yes v2: No st: NotStopd t0: [04:00:00 13/10/2016] id: Trach Size el: 0 cu: MICU cg: CRT v1: #7 st: NotStopd t0: [04:00:00 13/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: CRT v1: Inflated st: NotStopd t0: [04:00:00 13/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: CRT v1: Shiley st: NotStopd t0: [04:00:00 13/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CPAP+PS st: NotStopd t0: [04:00:00 13/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd
t0: [04:00:00 13/10/2016] id: RSBI (<100) el: 0 cu: MICU cg: CRT v1: 65.7084 u1: units st: NotStopd t0: [04:00:00 13/10/2016] id: RSBI (<200) el: 0 cu: MICU cg: CRT v1: 65.7084 u1: units st: NotStopd t0: [04:00:00 13/10/2016] id: Spon RR (Mech.) el: 0 cu: MICU cg: CRT v1: 32 u1: BPM st: NotStopd t0: [04:00:00 13/10/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: CRT v1: 0.487 u1: L st: NotStopd
t0: [20:00:00 12/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 12/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 12/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [20:00:00 12/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 12/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 12/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 12/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 12/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [20:00:00 12/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [20:00:00 12/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 12/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 12/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 12/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 12/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 12/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [20:00:00 12/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 12/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 12/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 12/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 12/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 12/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 12/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 12/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 12/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 12/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 12/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 12/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 12/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 12/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 12/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 12/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 12/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 12/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 12/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 12/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 12/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 12/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 12/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 12/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 12/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 12/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 12/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 12/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 12/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 12/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 12/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 12/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [21:00:00 12/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 12/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 12/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [21:00:00 12/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [21:00:00 12/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [21:00:00 12/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 12/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 12/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [21:00:00 12/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 13/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 13/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 13/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 13/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 13/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 13/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 13/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 13/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 13/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [00:00:00 13/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [00:00:00 13/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 13/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 13/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 13/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 13/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 13/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [00:00:00 13/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 13/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 13/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 13/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [00:00:00 13/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 13/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 13/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 13/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 13/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 13/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 13/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 13/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 13/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 13/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 13/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 13/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [00:00:00 13/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 13/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 13/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 13/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 13/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 13/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 13/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 13/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 13/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 13/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 13/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 13/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 13/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 13/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 13/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 13/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 13/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 13/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 13/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 13/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 13/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 13/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 13/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [03:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 13/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [03:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 13/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 13/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 13/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 13/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [03:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [03:00:00 13/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 13/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [03:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 13/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [03:00:00 13/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 13/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 13/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 13/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 13/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 13/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 13/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [04:00:00 13/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 13/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 13/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 13/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 13/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [04:00:00 13/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [04:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [04:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 13/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 13/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 13/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 13/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 13/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 13/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [04:00:00 13/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 13/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 13/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 13/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 13/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 13/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 13/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 13/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 13/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 13/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 13/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [04:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 13/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 13/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 13/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 13/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [04:00:00 13/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 13/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 13/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 13/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.1111 u1: Deg. C st: NotStopd t0: [04:00:00 13/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.4 u1: Deg. F st: NotStopd t0: [04:00:00 13/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 13/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 13/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 13/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 13/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 13/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 13/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 13/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 13/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 13/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 13/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [04:00:00 13/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [05:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [05:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [05:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [05:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 12/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 12/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [23:00:00 12/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [00:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml t0: [01:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [01:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 40 vu: ml t0: [01:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [02:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [02:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 40 vu: ml t0: [02:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml t0: [03:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [03:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 40 vu: ml t0: [03:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml t0: [04:00:00 13/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [04:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 50 vu: ml t0: [04:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml t0: [05:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [05:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 50 vu: ml t0: [05:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [03:00:00 13/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 13/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 13/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 13/10/2016] id: RSBI Not Completed el: 0 cu: MICU cg: CRT v1: Other/Remarks st: NotStopd
t0: [06:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [06:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [06:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [06:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [06:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 13/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [06:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 50 vu: ml t0: [06:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [06:00:00 13/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [06:01:00 13/10/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [06:01:00 13/10/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [06:01:00 13/10/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [06:01:00 13/10/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [06:01:00 13/10/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 121 u1: mmHg rs: Final st: NotStopd t0: [06:01:00 13/10/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [06:00:00 13/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 167 rs: Manual st: NotStopd
t0: [05:55:00 13/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 6.6 rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 6.6 rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30 u1: % rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 196 rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.55 u1: /mic l rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 6.6 rs: Final st: NotStopd
t0: [05:55:00 13/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 113 rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 149 rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 113 rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [05:55:00 13/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 149 rs: Final st: NotStopd
t0: [08:18:00 13/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [08:18:00 13/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [08:18:00 13/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [08:18:00 13/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:18:00 13/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:18:00 13/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:18:00 13/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [08:18:00 13/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:18:00 13/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:18:00 13/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:18:00 13/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [08:18:00 13/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:18:00 13/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 17 u1: L/min st: NotStopd t0: [08:18:00 13/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:18:00 13/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:18:00 13/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [08:18:00 13/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 33 u1: BPM st: NotStopd t0: [08:18:00 13/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:18:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:18:00 13/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [08:18:00 13/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:18:00 13/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [08:18:00 13/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:18:00 13/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [08:18:00 13/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [08:18:00 13/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [08:18:00 13/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:18:00 13/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [07:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [07:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [07:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [07:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [07:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [08:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 147 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [08:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [08:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [07:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 50 vu: ml t0: [07:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [08:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [08:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 50 vu: ml t0: [08:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [07:00:00 13/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 13/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 13/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 13/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 13/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 13/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 13/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 13/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 13/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:00:00 13/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 13/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 13/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 13/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 13/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [08:00:00 13/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 13/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 13/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 13/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 13/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 13/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 13/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [08:00:00 13/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 13/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 13/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 13/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 13/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 13/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 13/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 13/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 13/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 13/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 13/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 13/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 13/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 13/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 13/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 13/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 13/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 13/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 13/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 13/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 13/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 13/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 13/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 13/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 13/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 13/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 13/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 13/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 13/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 13/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 13/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 13/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 13/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 13/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 13/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 13/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 13/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 13/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 13/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 13/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [09:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 148 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [09:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [09:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 13/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [09:00:00 13/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.8333 u1: Deg. C st: NotStopd t0: [09:00:00 13/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.9 u1: Deg. F st: NotStopd t0: [09:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [09:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 50 vu: ml t0: [09:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [09:00:00 13/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [10:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 154 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [10:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [10:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [10:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 50 vu: ml t0: [10:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [10:00:00 13/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [11:00:00 13/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [11:00:00 13/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [11:00:00 13/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [11:00:00 13/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 13/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:00:00 13/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [11:00:00 13/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [11:00:00 13/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [11:00:00 13/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [11:00:00 13/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [11:00:00 13/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [11:00:00 13/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [11:00:00 13/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 13/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [11:00:00 13/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [11:00:00 13/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [11:00:00 13/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [11:00:00 13/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [11:00:00 13/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [11:00:00 13/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [11:00:00 13/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [11:00:00 13/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [11:00:00 13/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:00:00 13/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
tf: [10:00:00 14/10/2016] pt: Unit Dose rt: PO fr: ONCE fs: 11 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
t0: [11:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 120 u1: BPM st: NotStopd t0: [11:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [11:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [11:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 13/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [11:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [11:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 50 vu: ml t0: [11:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [11:00:00 13/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 13/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 13/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 13/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 13/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [12:00:00 13/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [12:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 93 u1: % st: NotStopd t0: [12:00:00 13/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 475 u1: ml/B st: NotStopd t0: [12:00:00 13/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 13/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [10:00:00 13/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 13/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 13/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 13/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 13/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 13/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [10:00:00 13/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 13/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 13/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 13/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 13/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 13/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 13/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 13/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 13/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 13/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [12:00:00 13/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 13/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 13/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 13/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 13/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 13/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [12:00:00 13/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [12:00:00 13/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 127 u1: BPM st: NotStopd t0: [12:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 13/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 13/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 13/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 13/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 13/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 13/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [12:00:00 13/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 13/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 13/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 13/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 13/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 13/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 13/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 13/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 13/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 13/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 13/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 13/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 13/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 13/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:00:00 13/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [12:00:00 13/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 13/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [12:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 13/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 13/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 13/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 13/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 13/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 13/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [12:00:00 13/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 13/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 13/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 13/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 13/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 13/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 13/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 13/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 13/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 13/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 170 rs: Manual st: NotStopd t0: [12:00:00 13/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 13/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 13/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 13/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 13/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 13/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 13/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 13/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [12:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [12:00:00 13/10/2016] id: Fentanyl el: 1 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip st: Stopped
t0: [12:00:00 13/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 13/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.7222 u1: Deg. C st: NotStopd t0: [12:00:00 13/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.7 u1: Deg. F st: NotStopd
t0: [12:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml
t0: [13:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 124 u1: BPM st: NotStopd t0: [13:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [13:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [13:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [13:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 13/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [12:00:00 13/10/2016] tf: [15:58:00 24/10/2016] dt: 16078 id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 300 vu: ml t0: [13:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [13:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [13:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [14:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 123 u1: BPM st: NotStopd t0: [14:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [14:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [14:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [14:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [14:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [15:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [15:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [15:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [15:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [15:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml t0: [15:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [12:00:00 13/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 13/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 13/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 13/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 13/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 13/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 13/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 13/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 13/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 13/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 13/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 13/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 13/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 13/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 13/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 13/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 13/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [16:00:00 13/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 13/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 13/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 13/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 13/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 13/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [16:00:00 13/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [16:00:00 13/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 128 u1: BPM st: NotStopd t0: [16:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 13/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 13/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 13/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 13/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 13/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 13/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [16:00:00 13/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 13/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [16:00:00 13/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 13/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 13/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 13/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 13/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 13/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 13/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 13/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 13/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 13/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 13/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 13/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [16:00:00 13/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 13/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 13/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 163 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [16:00:00 13/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [16:00:00 13/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 13/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 13/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 13/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 13/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 13/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 13/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 13/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [16:00:00 13/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 13/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 13/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 13/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 13/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.8889 u1: Deg. C st: NotStopd t0: [16:00:00 13/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102 u1: Deg. F st: NotStopd t0: [16:00:00 13/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 13/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 13/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 13/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 13/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 13/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 13/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 13/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 13/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 13/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 13/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 13/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [16:00:00 13/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [16:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 60 vu: ml
t0: [17:10:00 13/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [17:10:00 13/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [17:10:00 13/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [17:10:00 13/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:10:00 13/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:10:00 13/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [17:10:00 13/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [17:10:00 13/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [17:10:00 13/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:10:00 13/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [17:10:00 13/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [17:10:00 13/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [17:10:00 13/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [17:10:00 13/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:10:00 13/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [17:10:00 13/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [17:10:00 13/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [17:10:00 13/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:10:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [17:10:00 13/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [17:10:00 13/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [17:10:00 13/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [17:10:00 13/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [17:10:00 13/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [17:10:00 13/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [17:10:00 13/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [17:10:00 13/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:10:00 13/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 13/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [17:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 120 u1: BPM st: NotStopd t0: [17:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [17:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [17:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 13/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 13/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [18:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 13/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 13/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 13/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 13/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 147 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [18:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [18:00:00 13/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [18:00:00 13/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [18:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 13/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [18:00:00 13/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 13/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 13/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 13/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [17:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [17:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [17:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [18:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [18:00:00 13/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 300 vu: ml t0: [18:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [18:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [18:00:00 13/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 165 rs: Manual st: NotStopd t0: [19:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 131 u1: BPM st: NotStopd t0: [19:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 181 u1: mmHg v2: 98 u2: mmHg st: NotStopd t0: [19:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [19:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [19:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [19:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [19:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [18:31:00 13/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 154 rs: Final st: NotStopd t0: [18:31:00 13/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [18:31:00 13/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 148 rs: Final st: NotStopd t0: [18:31:00 13/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 154 rs: Final st: NotStopd t0: [18:31:00 13/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [18:31:00 13/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 148 rs: Final st: NotStopd
t0: [20:40:00 13/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [20:40:00 13/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [20:40:00 13/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [20:40:00 13/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:40:00 13/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:40:00 13/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:40:00 13/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [20:40:00 13/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:40:00 13/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:40:00 13/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:40:00 13/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [20:40:00 13/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:40:00 13/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [20:40:00 13/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.5 u1: L/min st: NotStopd t0: [20:40:00 13/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:40:00 13/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:40:00 13/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [20:40:00 13/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [20:40:00 13/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:40:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:40:00 13/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [20:40:00 13/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:40:00 13/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:40:00 13/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:40:00 13/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [20:40:00 13/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [20:40:00 13/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [20:40:00 13/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:40:00 13/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
tf: [20:00:00 14/10/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 21 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml tf: [20:00:00 14/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Furosemide v1: 80 u1: mg
t0: [20:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 127 u1: BPM st: NotStopd t0: [20:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 164 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [20:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [20:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [20:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 13/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 13/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39 u1: Deg. C st: NotStopd t0: [20:00:00 13/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.2 u1: Deg. F st: NotStopd t0: [20:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [21:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 153 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [21:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [21:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [21:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 121 u1: BPM st: NotStopd t0: [22:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [22:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [22:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [22:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 13/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [20:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [20:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [20:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [21:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [21:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [21:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [22:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [22:00:00 13/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 300 vu: ml t0: [22:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [22:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [23:00:00 13/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 900 ap: none
tf: [11:00:00 14/10/2016] pt: Unit Dose rt: IV fr: Q2H fs: 22, 0, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20 dn: 12 m1: Lorazepam v1: 1 u1: mg
t0: [21:00:00 13/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml
tf: [11:00:00 14/10/2016] pt: Unit Dose rt: IV fr: Q1-2H:PRN m1: Fentanyl Citrate v1: 25 u1: mcg
t0: [23:00:00 13/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 13/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 13/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 13/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 13/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 13/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [23:00:00 13/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 13/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 157 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [23:00:00 13/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [23:00:00 13/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 13/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:00:00 13/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 13/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [00:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 155 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [00:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [00:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [00:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 14/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 14/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.9444 u1: Deg. C st: NotStopd t0: [00:00:00 14/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.1 u1: Deg. F st: NotStopd t0: [00:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [01:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 154 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [01:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [01:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [01:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 13/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [23:00:00 13/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [23:00:00 13/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 2100 vu: ml t0: [00:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [00:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [00:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 600 vu: ml t0: [01:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [01:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [01:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 190 vu: ml
t0: [23:00:00 13/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 2100 cv: 2100 ap: none t0: [23:00:00 13/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 2100 cv: 4140 ap: none t0: [23:00:00 13/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 2100 cv: 4140 ap: none
t0: [01:10:00 14/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [01:10:00 14/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [01:10:00 14/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [01:10:00 14/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:10:00 14/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [01:10:00 14/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:10:00 14/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [01:10:00 14/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [01:10:00 14/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [01:10:00 14/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [01:10:00 14/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [01:10:00 14/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:10:00 14/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:10:00 14/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.7 u1: L/min st: NotStopd t0: [01:10:00 14/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:10:00 14/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [01:10:00 14/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [01:10:00 14/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [01:10:00 14/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:10:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [01:10:00 14/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [01:10:00 14/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [01:10:00 14/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 449 u1: ml/B st: NotStopd t0: [01:10:00 14/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [01:10:00 14/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [01:10:00 14/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [01:10:00 14/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [01:10:00 14/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [01:10:00 14/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [02:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [02:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 158 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [02:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [02:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [02:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [02:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [02:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 210 vu: ml
t0: [23:00:00 14/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 400 cv: 400 ap: none t0: [23:00:00 14/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -305 cv: -305 ap: none t0: [23:00:00 14/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 10 cv: 1070 ap: none t0: [23:00:00 14/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 95 cv: 4130 ap: none t0: [23:00:00 14/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 85 cv: 2040 ap: none t0: [23:00:00 14/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 400 cv: 3330 ap: none t0: [23:00:00 14/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -305 cv: 800 ap: none t0: [23:00:00 14/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 400 cv: 3330 ap: none t0: [23:00:00 14/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -305 cv: 6708.82 ap: carryForward
t0: [04:45:00 14/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [04:45:00 14/10/2016] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 94.2857 u1: units st: NotStopd t0: [04:45:00 14/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [04:45:00 14/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [04:45:00 14/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:45:00 14/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:45:00 14/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:45:00 14/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [04:45:00 14/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:45:00 14/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:45:00 14/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:45:00 14/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:45:00 14/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:45:00 14/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:45:00 14/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.2 u1: L/min st: NotStopd t0: [04:45:00 14/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [04:45:00 14/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:45:00 14/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:45:00 14/10/2016] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 94.2857 u1: units st: NotStopd t0: [04:45:00 14/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 33 u1: BPM st: NotStopd t0: [04:45:00 14/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:45:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [04:45:00 14/10/2016] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 33 u1: BPM st: NotStopd t0: [04:45:00 14/10/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.35 u1: L st: NotStopd t0: [04:45:00 14/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 418 u1: ml/B st: NotStopd t0: [04:45:00 14/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:45:00 14/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [04:45:00 14/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [04:45:00 14/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [04:45:00 14/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:45:00 14/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [04:55:00 14/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [04:55:00 14/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [04:55:00 14/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [04:55:00 14/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:55:00 14/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:55:00 14/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:55:00 14/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [04:55:00 14/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:55:00 14/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:55:00 14/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:55:00 14/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:55:00 14/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:55:00 14/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.6 u1: L/min st: NotStopd t0: [04:55:00 14/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:55:00 14/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:55:00 14/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [04:55:00 14/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [04:55:00 14/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:55:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 95 u1: % st: NotStopd t0: [04:55:00 14/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:55:00 14/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:55:00 14/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [04:55:00 14/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [04:55:00 14/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [04:55:00 14/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:55:00 14/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 13/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 13/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 13/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 13/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [20:00:00 13/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 13/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 13/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 13/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 13/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [20:00:00 13/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [20:00:00 13/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 13/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 13/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 13/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 13/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [20:00:00 13/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [20:00:00 13/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 13/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 13/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 13/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 13/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 13/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 13/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 13/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 13/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 13/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 13/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 13/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 13/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 13/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 13/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 13/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 13/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 13/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 13/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 13/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 13/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 13/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 13/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 13/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 13/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 13/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 13/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 13/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 13/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 13/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 13/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 13/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 13/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 13/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 13/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 13/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [21:00:00 13/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 13/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 13/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 13/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 14/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 14/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 14/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 14/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 14/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 14/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 14/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [00:00:00 14/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [00:00:00 14/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 14/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 14/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 14/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 14/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 14/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 14/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [00:00:00 14/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 14/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [00:00:00 14/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 14/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 14/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 14/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 14/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 14/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 14/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 14/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 14/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 14/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 14/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [00:00:00 14/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 14/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 14/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 14/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 14/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 14/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 14/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 14/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 14/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 14/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 14/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 14/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 14/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [00:00:00 14/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 14/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 14/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 14/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 14/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 14/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 14/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 14/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 14/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 14/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 14/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 14/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [03:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 14/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 14/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 14/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 14/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 155 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [03:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [03:00:00 14/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [03:00:00 14/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 14/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [03:00:00 14/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 14/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 14/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [03:00:00 14/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 14/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 14/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 14/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [04:00:00 14/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 14/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 14/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 14/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 14/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [04:00:00 14/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [04:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [04:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 14/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 14/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 14/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 14/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 14/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 14/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [04:00:00 14/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 14/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [04:00:00 14/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 14/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 14/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 14/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 14/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 14/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 14/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 14/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 14/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [04:00:00 14/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 14/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 157 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [04:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [04:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 14/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 14/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [04:00:00 14/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 14/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 14/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 14/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.7778 u1: Deg. C st: NotStopd t0: [04:00:00 14/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.8 u1: Deg. F st: NotStopd t0: [04:00:00 14/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 14/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 14/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 14/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 14/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 14/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 14/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 14/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 14/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 14/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [04:00:00 14/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [05:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 121 u1: BPM st: NotStopd t0: [05:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 156 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [05:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [05:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [03:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [03:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml t0: [04:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [04:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [04:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml t0: [05:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [05:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [05:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [06:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [06:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 159 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [06:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [06:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [06:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [06:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [05:00:00 14/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8.3 rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 8.3 rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 33.8 u1: % rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 195 rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.02 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8.3 rs: Final st: NotStopd
t0: [05:00:00 14/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 108 rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 161 rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 148 rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [05:00:00 14/10/2016] 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 14/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 108 rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 161 rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [05:00:00 14/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 148 rs: Final st: NotStopd
t0: [09:00:00 14/10/2016] id: INV#2Chg o/Wire Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [09:00:00 14/10/2016] id: INV Line#2 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [09:00:00 14/10/2016] id: INV Line#2 Site Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [09:00:00 14/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [09:00:00 14/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 st: D/C'd t0: [09:00:00 14/10/2016] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd
t0: [07:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [07:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 151 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [07:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [07:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [07:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 14/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 14/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 14/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 14/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:00:00 14/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 14/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [08:00:00 14/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 14/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 14/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 14/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [08:00:00 14/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 14/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [08:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 14/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 14/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 14/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/10/2016] id: INV Line#2 D/C Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 14/10/2016] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 14/10/2016] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 19 st: NotStopd t0: [08:00:00 14/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [08:00:00 14/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 14/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 14/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 14/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 14/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 14/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 14/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 14/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 14/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 14/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 14/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 14/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 14/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 14/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [08:00:00 14/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 14/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 14/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 14/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 148 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:00:00 14/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [08:00:00 14/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 14/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 14/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 14/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 14/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 14/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [08:00:00 14/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 14/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 14/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 14/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 14/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 14/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39 u1: Deg. C st: NotStopd t0: [08:00:00 14/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.2 u1: Deg. F st: NotStopd t0: [08:00:00 14/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 14/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 14/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 14/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 14/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 14/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 14/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 14/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 14/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 14/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 14/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 14/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 14/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [09:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 151 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [09:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [09:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [07:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [07:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [08:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [08:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [08:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [09:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [09:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [09:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [09:48:00 14/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [09:48:00 14/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [09:48:00 14/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [09:48:00 14/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:48:00 14/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [09:48:00 14/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [09:48:00 14/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [09:48:00 14/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [09:48:00 14/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.1 u1: Deg. C st: NotStopd t0: [09:48:00 14/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [09:48:00 14/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [09:48:00 14/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [09:48:00 14/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.2 u1: L/min st: NotStopd t0: [09:48:00 14/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:48:00 14/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [09:48:00 14/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [09:48:00 14/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [09:48:00 14/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:48:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [09:48:00 14/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Clear v2: Thin st: NotStopd t0: [09:48:00 14/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [09:48:00 14/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 463 u1: ml/B st: NotStopd t0: [09:48:00 14/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [09:48:00 14/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [09:48:00 14/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [09:48:00 14/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [09:48:00 14/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [09:48:00 14/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [09:48:00 14/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [10:18:00 14/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14.5 u1: L/min st: NotStopd t0: [10:18:00 14/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 8 u1: . st: NotStopd t0: [10:18:00 14/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [10:18:00 14/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd
t0: [10:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [10:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 151 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [10:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [10:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [11:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 153 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [11:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [11:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [11:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [10:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [10:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml t0: [11:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 50 vu: ml t0: [11:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [11:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
tf: [10:00:00 15/10/2016] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Lorazepam v1: 1 u1: mg
t0: [12:55:00 14/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [12:55:00 14/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [12:55:00 14/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [12:55:00 14/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:55:00 14/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:55:00 14/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:55:00 14/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [12:55:00 14/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:55:00 14/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.1 u1: Deg. C st: NotStopd t0: [12:55:00 14/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [12:55:00 14/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [12:55:00 14/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 96 st: NotStopd t0: [12:55:00 14/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:55:00 14/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.9 u1: L/min st: NotStopd t0: [12:55:00 14/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:55:00 14/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:55:00 14/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 8 u1: . st: NotStopd t0: [12:55:00 14/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [12:55:00 14/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:55:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [12:55:00 14/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Green v2: Thick st: NotStopd t0: [12:55:00 14/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [12:55:00 14/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 408 u1: ml/B st: NotStopd t0: [12:55:00 14/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:55:00 14/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [12:55:00 14/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [12:55:00 14/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [12:55:00 14/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:55:00 14/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [10:00:00 14/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 14/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 14/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 14/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 14/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 14/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 14/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 14/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 14/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 14/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 14/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 14/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 14/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 14/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [12:00:00 14/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 14/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 14/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 14/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 14/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 14/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [12:00:00 14/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [12:00:00 14/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [12:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 14/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 14/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 14/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 14/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [12:00:00 14/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 14/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 14/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 14/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 14/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 14/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 14/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 14/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 14/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 14/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 14/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [12:00:00 14/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 14/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 14/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 14/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 159 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:00:00 14/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [12:00:00 14/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 14/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 14/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 14/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 14/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 14/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 14/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 14/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [12:00:00 14/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 14/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 14/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 14/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 14/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 14/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.8889 u1: Deg. C st: NotStopd t0: [12:00:00 14/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102 u1: Deg. F st: NotStopd t0: [12:00:00 14/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 14/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 14/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 14/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 14/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 14/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 14/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 14/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 14/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 14/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 14/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 14/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 14/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 14/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [13:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [13:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 150 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [13:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [13:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [13:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 14/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [12:00:00 14/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [12:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [12:00:00 14/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [12:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [12:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [13:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [13:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [13:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [14:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 124 u1: BPM st: NotStopd t0: [14:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 149 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [14:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [14:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 120 u1: BPM st: NotStopd t0: [15:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 14/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 0 u1: mmHg u2: mmHg st: NotStopd t0: [15:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 147 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [15:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [15:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [15:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 14/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [15:00:00 14/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.1111 u1: Deg. C st: NotStopd t0: [15:00:00 14/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.4 u1: Deg. F st: NotStopd t0: [15:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [14:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml t0: [15:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [15:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [15:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
tf: [09:00:00 16/10/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 6.25 u1: mg
t0: [14:00:00 14/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 14/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 14/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 14/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 14/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 14/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 14/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 14/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 14/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 14/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 14/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 14/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 14/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 14/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 14/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [16:00:00 14/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 14/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 14/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 14/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 14/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 14/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [16:00:00 14/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [16:00:00 14/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 124 u1: BPM st: NotStopd t0: [16:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 14/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 14/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 14/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 14/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 14/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [16:00:00 14/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 14/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 14/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 14/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 14/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 14/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 14/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 14/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 14/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 14/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 14/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 14/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [16:00:00 14/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 14/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 14/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 14/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 154 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [16:00:00 14/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [16:00:00 14/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 14/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 14/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 14/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 14/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 14/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 14/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 14/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 14/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 14/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 14/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 14/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 14/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 14/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 14/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 14/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 14/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 14/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 14/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 14/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 14/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 14/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 14/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 14/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [16:00:00 14/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 121 u1: BPM st: NotStopd t0: [17:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 157 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [17:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [17:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 0 u1: BPM st: NotStopd t0: [17:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [16:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [17:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [17:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml
t0: [17:15:00 14/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RT v1: 8 v2: 22 st: NotStopd t0: [17:15:00 14/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RT v1: No st: NotStopd t0: [17:15:00 14/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RT v1: 18 t0: [17:15:00 14/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RT v1: 0.4 u1: torr st: NotStopd t0: [17:15:00 14/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RT v1: 40 u1: cmH2O st: NotStopd t0: [17:15:00 14/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RT v1: 40 u1: BPM st: NotStopd t0: [17:15:00 14/10/2016] id: Airway Size el: 0 cu: MICU cg: RT v1: 7.0 mm st: NotStopd t0: [17:15:00 14/10/2016] id: Airway Type el: 0 cu: MICU cg: RT v1: Tracheostomy st: NotStopd t0: [17:15:00 14/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RT v1: 34.2 u1: Deg. C st: NotStopd t0: [17:15:00 14/10/2016] id: Intubation Date el: 0 cu: MICU cg: RT v1: 7 v2: 23 st: NotStopd t0: [17:15:00 14/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RT v1: 5 st: NotStopd t0: [17:15:00 14/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RT v1: 6 v2: Combivent st: NotStopd t0: [17:15:00 14/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RT v1: 9 u1: cmH2O st: NotStopd t0: [17:15:00 14/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RT v1: 17.5 u1: L/min st: NotStopd t0: [17:15:00 14/10/2016] id: PEEP Set el: 0 cu: MICU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [17:15:00 14/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RT v1: 20 st: NotStopd t0: [17:15:00 14/10/2016] id: Pressure Support el: 0 cu: MICU cg: RT v1: 12 u1: . st: NotStopd t0: [17:15:00 14/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RT v1: 41 u1: BPM st: NotStopd t0: [17:15:00 14/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [17:15:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RT v1: 100 u1: % st: NotStopd t0: [17:15:00 14/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RT v1: Yellow v2: Thick st: NotStopd t0: [17:15:00 14/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RT v1: Suctioned v2: Moderate st: NotStopd t0: [17:15:00 14/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RT v1: 420 u1: ml/B st: NotStopd t0: [17:15:00 14/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RT v1: Yes v2: No st: NotStopd t0: [17:15:00 14/10/2016] id: Trach Size el: 0 cu: MICU cg: RT v1: #7 st: NotStopd t0: [17:15:00 14/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RT v1: Inflated st: NotStopd t0: [17:15:00 14/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RT v1: Shiley st: NotStopd t0: [17:15:00 14/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RT v1: CPAP+PS st: NotStopd t0: [17:15:00 14/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RT v1: Drager st: NotStopd
t0: [12:00:00 14/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 163 rs: Manual st: NotStopd t0: [16:00:00 14/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [18:00:00 14/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [18:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 14/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 124 u1: BPM st: NotStopd t0: [18:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 14/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 14/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [18:00:00 14/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [18:00:00 14/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [18:00:00 14/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [18:00:00 14/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 14/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 14/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [18:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [18:00:00 14/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [18:00:00 14/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 14/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 93 u1: % st: NotStopd t0: [18:00:00 14/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 14/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 14/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 166 rs: Manual st: NotStopd
t0: [16:00:00 14/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [16:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [17:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml t0: [18:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [18:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [18:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [18:02:00 14/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [18:02:00 14/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 148 rs: Final st: NotStopd t0: [18:02:00 14/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [18:02:00 14/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 148 rs: Final st: NotStopd
tf: [19:00:00 15/10/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 20 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml tf: [19:00:00 15/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 20 dn: 1 m1: Furosemide v1: 80 u1: mg tf: [19:00:00 15/10/2016] pt: Unit Dose rt: PO fr: ONCE fs: 20 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
t0: [20:00:00 14/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: CRT v1: 8 v2: 22 st: NotStopd t0: [20:00:00 14/10/2016] id: Cuff Leak el: 0 cu: MICU cg: CRT v1: No st: NotStopd t0: [20:00:00 14/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 18 t0: [20:00:00 14/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 14/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 14/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 14/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.0 mm st: NotStopd t0: [20:00:00 14/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Tracheostomy st: NotStopd t0: [20:00:00 14/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 34.2 u1: Deg. C st: NotStopd t0: [20:00:00 14/10/2016] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [20:00:00 14/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [20:00:00 14/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 14/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 9 u1: cmH2O st: NotStopd t0: [20:00:00 14/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 14.5 u1: L/min st: NotStopd t0: [20:00:00 14/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 14/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [20:00:00 14/10/2016] id: Pressure Support el: 0 cu: MICU cg: CRT v1: 12 u1: . st: NotStopd t0: [20:00:00 14/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 28 u1: BPM st: NotStopd t0: [20:00:00 14/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: CRT v1: 96 u1: % st: NotStopd t0: [20:00:00 14/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: CRT v1: 554 u1: ml/B st: NotStopd t0: [20:00:00 14/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: CRT v1: Yes v2: No st: NotStopd t0: [20:00:00 14/10/2016] id: Trach Size el: 0 cu: MICU cg: CRT v1: #7 st: NotStopd t0: [20:00:00 14/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: CRT v1: Inflated st: NotStopd t0: [20:00:00 14/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: CRT v1: Shiley st: NotStopd t0: [20:00:00 14/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CPAP+PS st: NotStopd t0: [20:00:00 14/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd
t0: [19:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 121 u1: BPM st: NotStopd t0: [19:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 14/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [19:00:00 14/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [19:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [19:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [19:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 14/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 14/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 14/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 14/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 14/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 14/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 14/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [20:00:00 14/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 14/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 14/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 14/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 14/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [20:00:00 14/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [20:00:00 14/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 124 u1: BPM st: NotStopd t0: [20:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 14/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 14/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 14/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 14/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [20:00:00 14/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 14/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 14/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 14/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 14/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 14/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 14/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 14/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 14/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 14/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 14/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 14/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 14/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [20:00:00 14/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [20:00:00 14/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 14/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 14/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 149 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [20:00:00 14/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [20:00:00 14/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 14/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 14/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 14/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 14/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 14/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 14/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 14/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 14/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 14/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 14/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 14/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 14/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 14/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 14/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 14/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [20:00:00 14/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 14/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 14/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [20:00:00 14/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [21:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 126 u1: BPM st: NotStopd t0: [21:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [21:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [21:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [21:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml st: Restart t0: [19:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [20:00:00 14/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [20:00:00 14/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [20:00:00 14/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 240 vu: ml t0: [20:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [20:00:00 14/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [20:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [20:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [21:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [21:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml
t0: [23:00:00 14/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 1020 ap: none
t0: [20:00:00 14/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 14/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.3333 u1: Deg. C st: NotStopd t0: [20:00:00 14/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.8 u1: Deg. F st: NotStopd t0: [22:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 125 u1: BPM st: NotStopd t0: [22:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [22:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [22:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [22:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 14/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [22:00:00 14/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.1111 u1: Deg. C st: NotStopd t0: [22:00:00 14/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.4 u1: Deg. F st: NotStopd t0: [22:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 14/10/2016] id: D5W 100.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [22:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [22:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 360 vu: ml
t0: [23:00:00 14/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 14/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 14/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 14/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 14/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 14/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 124 u1: BPM st: NotStopd t0: [23:00:00 14/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 14/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [23:00:00 14/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [23:00:00 14/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [23:00:00 14/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [23:00:00 14/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 14/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [23:00:00 14/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 14/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 14/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [23:00:00 14/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [23:00:00 14/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [23:00:00 14/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [23:00:00 14/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [23:00:00 14/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [23:00:00 14/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [23:00:00 14/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [23:00:00 14/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [23:00:00 14/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [23:00:00 14/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [23:00:00 14/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [23:00:00 14/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [23:00:00 14/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [23:00:00 14/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [23:00:00 14/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [23:00:00 14/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [23:00:00 14/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [23:00:00 14/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [23:00:00 14/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [23:00:00 14/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [23:00:00 14/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [23:00:00 14/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [23:00:00 14/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [23:00:00 14/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [23:00:00 14/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [23:00:00 14/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [23:00:00 14/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [23:00:00 14/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [22:00:00 14/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 14/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 14/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 14/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 14/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 14/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 14/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 14/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 14/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 15/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 15/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 15/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 15/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 15/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 15/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 15/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 15/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 15/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 15/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 15/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 15/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [00:00:00 15/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [00:00:00 15/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 123 u1: BPM st: NotStopd t0: [00:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 15/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 15/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 15/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 15/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [00:00:00 15/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 15/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 15/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 15/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 15/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 15/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 15/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 15/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 15/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 15/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [00:00:00 15/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 15/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 15/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 15/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [00:00:00 15/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [00:00:00 15/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 15/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 15/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 15/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 15/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 15/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 15/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 15/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 36 u1: BPM st: NotStopd t0: [00:00:00 15/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 15/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 15/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 15/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 15/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 15/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 15/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [00:00:00 15/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 15/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 15/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 15/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [00:00:00 15/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [00:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [00:00:00 15/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: CRT v1: 8 v2: 22 st: NotStopd t0: [00:00:00 15/10/2016] id: Cuff Leak el: 0 cu: MICU cg: CRT v1: No st: NotStopd t0: [00:00:00 15/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 18 t0: [00:00:00 15/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 15/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 15/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 15/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.0 mm st: NotStopd t0: [00:00:00 15/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Tracheostomy st: NotStopd t0: [00:00:00 15/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 15/10/2016] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [00:00:00 15/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [00:00:00 15/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 15/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 15.1 u1: L/min st: NotStopd t0: [00:00:00 15/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 15/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [00:00:00 15/10/2016] id: Pressure Support el: 0 cu: MICU cg: CRT v1: 12 u1: . st: NotStopd t0: [00:00:00 15/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 15/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 15/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: CRT v1: 400 u1: ml/B st: NotStopd t0: [00:00:00 15/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: CRT v1: Yes v2: No st: NotStopd t0: [00:00:00 15/10/2016] id: Trach Size el: 0 cu: MICU cg: CRT v1: #7 st: NotStopd t0: [00:00:00 15/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: CRT v1: Inflated st: NotStopd t0: [00:00:00 15/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: CRT v1: Shiley st: NotStopd t0: [00:00:00 15/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CPAP+PS st: NotStopd t0: [00:00:00 15/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd
t0: [00:00:00 15/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 203 rs: Manual st: NotStopd
t0: [00:00:00 15/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 15/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.8889 u1: Deg. C st: NotStopd t0: [00:00:00 15/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102 u1: Deg. F st: NotStopd t0: [01:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 123 u1: BPM st: NotStopd t0: [01:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [01:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 145 u1: mmHg st: NotStopd t0: [01:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [01:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 15/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [01:00:00 15/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [01:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml
t0: [02:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 15/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [02:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 15/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 15/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 15/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [02:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [02:00:00 15/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 15/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 15/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [02:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 15/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 15/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [02:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [02:00:00 15/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [02:00:00 15/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.1111 u1: Deg. C st: NotStopd t0: [02:00:00 15/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.4 u1: Deg. F st: NotStopd t0: [03:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 124 u1: BPM st: NotStopd t0: [03:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 145 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [03:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [03:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [03:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [03:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [03:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 240 vu: ml
t0: [23:00:00 15/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 15/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 3630 ap: none t0: [23:00:00 15/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 3630 ap: none
t0: [04:00:00 15/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 15/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 15/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 15/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 15/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 15/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 15/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 15/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [04:00:00 15/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 15/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 15/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 15/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 15/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [04:00:00 15/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [04:00:00 15/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 126 u1: BPM st: NotStopd t0: [04:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 15/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 15/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 15/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 15/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 15/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 15/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [04:00:00 15/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 15/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 15/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 15/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 15/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 15/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 15/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 15/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 15/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 15/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 15/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Pain st: NotStopd t0: [04:00:00 15/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 15/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 15/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 15/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 15/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [04:00:00 15/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 15/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 15/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 15/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 15/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 15/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 15/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 15/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 15/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 15/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 15/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 15/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [04:00:00 15/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 15/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 15/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 15/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.2778 u1: Deg. C st: NotStopd t0: [04:00:00 15/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.7 u1: Deg. F st: NotStopd t0: [04:00:00 15/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 15/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 15/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [04:00:00 15/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 15/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 15/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml
t0: [04:00:00 15/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: CRT v1: 8 v2: 22 st: NotStopd t0: [04:00:00 15/10/2016] id: Cuff Leak el: 0 cu: MICU cg: CRT v1: No st: NotStopd t0: [04:00:00 15/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 18 t0: [04:00:00 15/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 15/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 15/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 15/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.0 mm st: NotStopd t0: [04:00:00 15/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Tracheostomy st: NotStopd t0: [04:00:00 15/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 15/10/2016] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 7 v2: 23 st: NotStopd t0: [04:00:00 15/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [04:00:00 15/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 15/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 15/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 14.8 u1: L/min st: NotStopd t0: [04:00:00 15/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 15/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [04:00:00 15/10/2016] id: Pressure Support el: 0 cu: MICU cg: CRT v1: 12 u1: . st: NotStopd t0: [04:00:00 15/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 31 u1: BPM st: NotStopd t0: [04:00:00 15/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 15/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: CRT v1: 564 u1: ml/B st: NotStopd t0: [04:00:00 15/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: CRT v1: Yes v2: No st: NotStopd t0: [04:00:00 15/10/2016] id: Trach Size el: 0 cu: MICU cg: CRT v1: #7 st: NotStopd t0: [04:00:00 15/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: CRT v1: Inflated st: NotStopd t0: [04:00:00 15/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: CRT v1: Shiley st: NotStopd t0: [04:00:00 15/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CPAP+PS st: NotStopd t0: [04:00:00 15/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: Drager st: NotStopd
t0: [05:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 124 u1: BPM st: NotStopd t0: [05:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [05:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [05:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 41 u1: BPM st: NotStopd t0: [05:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [05:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml
t0: [04:00:00 15/10/2016] id: RSBI (<100) el: 0 cu: MICU cg: CRT v1: 120 u1: units st: NotStopd t0: [04:00:00 15/10/2016] id: RSBI (<200) el: 0 cu: MICU cg: CRT v1: 120 u1: units st: NotStopd t0: [04:00:00 15/10/2016] id: Spon RR (Mech.) el: 0 cu: MICU cg: CRT v1: 42 u1: BPM st: NotStopd t0: [04:00:00 15/10/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: CRT v1: 0.35 u1: L st: NotStopd
t0: [04:29:00 15/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 33.5 u1: % rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 209 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.96 u1: /mic l rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd
t0: [04:29:00 15/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 36 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 173 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 36 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 173 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [06:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 15/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 121 u1: BPM st: NotStopd t0: [06:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 15/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 15/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 15/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 143 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [06:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [06:00:00 15/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 15/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 15/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [06:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 15/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 15/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [06:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml
t0: [06:00:00 15/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [06:00:00 15/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.2778 u1: Deg. C st: NotStopd t0: [06:00:00 15/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.7 u1: Deg. F st: NotStopd
tf: [05:00:00 16/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 6 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [06:00:00 15/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 175 rs: Manual st: NotStopd
t0: [07:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 15/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [07:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [07:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [07:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [07:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [07:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [07:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [07:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [08:00:00 15/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [08:00:00 15/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [08:00:00 15/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 15/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 15/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 15/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [08:00:00 15/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 15/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 15/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:00:00 15/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 15/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 15/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 15/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 16.5 u1: L/min st: NotStopd t0: [08:00:00 15/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 15/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 15/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [08:00:00 15/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 36 u1: BPM st: NotStopd t0: [08:00:00 15/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [08:00:00 15/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 5.9 u1: ml/B st: NotStopd t0: [08:00:00 15/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 15/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [08:00:00 15/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [08:00:00 15/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 15/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 15/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 15/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 15/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [08:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 15/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 15/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 15/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 15/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:00:00 15/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 15/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 15/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 15/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 15/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [08:00:00 15/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 120 u1: BPM st: NotStopd t0: [08:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 15/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 15/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 15/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 15/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [08:00:00 15/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 15/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 15/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 15/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 15/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 15/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 15/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 15/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 15/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 15/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [08:00:00 15/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 15/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [08:00:00 15/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 15/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 15/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 15/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 36 u1: BPM st: NotStopd t0: [08:00:00 15/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 15/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 15/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 15/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 15/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39 u1: Deg. C st: NotStopd t0: [08:00:00 15/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.2 u1: Deg. F st: NotStopd t0: [08:00:00 15/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [08:00:00 15/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 15/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 15/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 15/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 15/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 15/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 15/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 15/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 15/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 15/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 15/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [08:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [08:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [08:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [08:00:00 15/10/2016] id: Procedures el: 0 cu: MICU cg: RN v1: EKG st: NotStopd t0: [09:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 15/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [09:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [09:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [09:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [09:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [09:00:00 15/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 15/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd
t0: [08:30:00 15/10/2016] id: CPK Enzymes el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd
tf: [12:00:00 22/10/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin EC v1: 325 u1: mg
t0: [10:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 15/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 15/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 121 u1: BPM st: NotStopd t0: [10:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 15/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 15/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 15/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [10:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 15/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 15/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 15/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [10:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 15/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 15/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [10:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [10:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [08:30:00 15/10/2016] id: CPK/MB Enzymes el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd
tf: [10:00:00 16/10/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Potassium Phosphate v1: 15 u1: mmol m2: NS v2: 250 u2: ml tf: [20:00:00 24/10/2016] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Lorazepam v1: 0.5 u1: mg
t0: [11:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 120 u1: BPM st: NotStopd t0: [11:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [11:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [11:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 15/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 15/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 15/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [12:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 15/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 15/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 15/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 15/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 15/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [12:00:00 15/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 15/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 15/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 15/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 15/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 15/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [12:00:00 15/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [12:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [12:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 15/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 15/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 15/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 15/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 15/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [12:00:00 15/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 15/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 15/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 15/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 15/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 15/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 15/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 15/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 15/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 15/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 15/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 15/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 15/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 15/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 15/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [12:00:00 15/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 15/10/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Pan Cultured st: NotStopd t0: [12:00:00 15/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 15/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 15/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 15/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 15/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [12:00:00 15/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 15/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 15/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 15/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 15/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.1667 u1: Deg. C st: NotStopd t0: [12:00:00 15/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.5 u1: Deg. F st: NotStopd t0: [12:00:00 15/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [12:00:00 15/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 15/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 15/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 20 vu: ml t0: [12:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [12:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
id: Potassium Phosphate el: 101 cu: MICU cg: RN io: .9% Normal Saline 250.0ml IV Infusions am: 15 du: mEq rt: Intravenous Push
io: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ra: 41.7 ru: ml/hr
id: .9% Normal Saline el: 1 cu: MICU cg: RN io: .9% Normal Saline 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Infusion
t0: [12:00:00 15/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [12:00:00 15/10/2016] tf: [19:00:00 15/10/2016] dt: 420 id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.7 vu: ml nb: 1
tf: [12:00:00 16/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [13:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 15/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [13:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [13:00:00 15/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.7 vu: ml t0: [13:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [13:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [13:00:00 15/10/2016] tf: [15:58:00 24/10/2016] dt: 13138 id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 100 vu: ml
t0: [13:36:00 15/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [13:36:00 15/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:36:00 15/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [13:36:00 15/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [13:36:00 15/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [13:36:00 15/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [13:36:00 15/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [13:36:00 15/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [13:36:00 15/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13 u1: L/min st: NotStopd t0: [13:36:00 15/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:36:00 15/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [13:36:00 15/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [13:36:00 15/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [13:36:00 15/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:36:00 15/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 566 u1: ml/B st: NotStopd t0: [13:36:00 15/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [14:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 15/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 15/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [14:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 15/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 15/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 15/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [14:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 15/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 15/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 15/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 15/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 15/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 15/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 197 rs: Manual st: NotStopd
t0: [14:00:00 15/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [14:00:00 15/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [14:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 15/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.7 vu: ml t0: [14:00:00 15/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [14:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [14:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [14:00:00 15/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 15/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 15/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 15/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [15:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 15/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [15:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [15:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [15:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 15/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [15:00:00 15/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.7 vu: ml t0: [15:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [15:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [04:29:00 15/10/2016] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 14 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:29:00 15/10/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 75 rs: Final st: NotStopd
tf: [20:00:00 24/10/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 16, 4 dn: 2 m1: Ciprofloxacin v1: 400 u1: mg m2: D5W v2: 200 u2: ml tf: [20:00:00 24/10/2016] pt: Unit Dose rt: TP fr: PRN m1: Miconazole Powder 2% v1: 1 u1: Appl
t0: [15:00:00 15/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [15:00:00 15/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [15:00:00 15/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [15:00:00 15/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd
t0: [15:00:00 15/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 15/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 15/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 15/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [16:00:00 15/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [16:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 15/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 15/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 15/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 15/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 15/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 15/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [16:00:00 15/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 15/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 15/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 15/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 15/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [16:00:00 15/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [16:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [16:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 15/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 15/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 15/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [16:00:00 15/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [16:00:00 15/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 15/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 15/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 15/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 15/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 15/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 15/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 15/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 15/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 15/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 15/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 15/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 15/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [16:00:00 15/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 15/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [16:00:00 15/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 15/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 15/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 15/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 15/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 15/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:00:00 15/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 15/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 15/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 15/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 15/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39 u1: Deg. C st: NotStopd t0: [16:00:00 15/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.2 u1: Deg. F st: NotStopd t0: [16:00:00 15/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [16:00:00 15/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 15/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 15/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [16:00:00 15/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [16:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [16:00:00 15/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.7 vu: ml t0: [16:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [16:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [17:00:00 15/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [17:00:00 15/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 18 t0: [17:00:00 15/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 15/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:00:00 15/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [17:00:00 15/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [17:00:00 15/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [17:00:00 15/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [17:00:00 15/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [17:00:00 15/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [17:00:00 15/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [17:00:00 15/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 15/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [17:00:00 15/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 15/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [17:00:00 15/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [17:00:00 15/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 33 u1: BPM st: NotStopd t0: [17:00:00 15/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [17:00:00 15/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [17:00:00 15/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 15/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [17:00:00 15/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [17:00:00 15/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [17:00:00 15/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [17:00:00 15/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 15/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd t0: [17:00:00 15/10/2016] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 15/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [17:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [17:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [17:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [17:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 15/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [17:00:00 15/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.7 vu: ml t0: [17:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [17:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [15:00:00 15/10/2016] id: CPK/MB Enzymes el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd
t0: [18:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 15/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [18:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [18:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [18:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [18:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 15/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 25 vu: ml t0: [18:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vo: 10 vu: ml t0: [18:00:00 15/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 41.7 vu: ml t0: [18:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [18:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
tf: [17:00:00 16/10/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 18 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 25 u2: ml tf: [17:00:00 16/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 18 dn: 1 m1: Furosemide v1: 80 u1: mg
tf: [04:00:00 16/10/2016] pt: Unit Dose rt: PO fr: ONCE fs: 19 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
t0: [19:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 15/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [19:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [19:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [19:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [19:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 15/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 15/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vu: ml st: Stopped t0: [19:00:00 15/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vu: ml st: Stopped t0: [19:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [19:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 940 vu: ml
t0: [18:00:00 15/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 179 rs: Manual st: NotStopd
t0: [20:00:00 15/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 15/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 15/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 15/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 15/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 15/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 15/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 15/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 15/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [20:00:00 15/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 15/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 15/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 15/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 15/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [20:00:00 15/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [20:00:00 15/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [20:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 15/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 15/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 15/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 15/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 15/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [20:00:00 15/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 15/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 15/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 15/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 15/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 15/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 15/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 15/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 15/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 15/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 15/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 15/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 15/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 15/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 15/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 15/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [20:00:00 15/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [20:00:00 15/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 15/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 15/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 15/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 15/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 15/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 15/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 15/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 15/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [20:00:00 15/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 15/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [20:00:00 15/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 15/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 15/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 15/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 15/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5556 u1: Deg. C st: NotStopd t0: [20:00:00 15/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.4 u1: Deg. F st: NotStopd t0: [20:00:00 15/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 15/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 15/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [20:00:00 15/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 15/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 15/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [20:00:00 15/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 15/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 240 vu: ml t0: [20:00:00 15/10/2016] tf: [15:58:00 24/10/2016] dt: 12718 id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [20:00:00 15/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [20:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [20:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [23:00:00 15/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 920 ap: none
t0: [20:58:00 15/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [20:58:00 15/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:58:00 15/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:58:00 15/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [20:58:00 15/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [20:58:00 15/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:58:00 15/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.9 u1: Deg. C st: NotStopd t0: [20:58:00 15/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:58:00 15/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [20:58:00 15/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:58:00 15/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:58:00 15/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [20:58:00 15/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:58:00 15/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:58:00 15/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [20:58:00 15/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:58:00 15/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:58:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:58:00 15/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:58:00 15/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:58:00 15/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [20:58:00 15/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [20:58:00 15/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [20:58:00 15/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:58:00 15/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [20:58:00 15/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [20:58:00 15/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd
t0: [21:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [21:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [21:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [21:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [21:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 15/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml
tf: [14:00:00 21/10/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 12.5 u1: mg
t0: [22:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [22:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [22:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [22:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 15/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [22:00:00 15/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [23:00:00 15/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 15/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 15/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 15/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 15/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 15/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [23:00:00 15/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 15/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 15/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [23:00:00 15/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 15/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [23:00:00 15/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 15/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 16/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 16/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 16/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 16/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 16/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 16/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 16/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 16/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 16/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 16/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 16/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 16/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 16/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [00:00:00 16/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [00:00:00 16/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [00:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 16/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 16/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 16/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 16/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 16/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [00:00:00 16/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 16/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 16/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 16/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 16/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 16/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 16/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 16/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 16/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 16/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 16/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 16/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 16/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 16/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 16/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 16/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [00:00:00 16/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [00:00:00 16/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 16/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 16/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [00:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 16/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 16/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 16/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 16/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 16/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 16/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [00:00:00 16/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 16/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 16/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 16/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 16/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 16/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 16/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 16/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 16/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 16/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 16/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 16/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done t0: [00:00:00 16/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [23:00:00 15/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 15/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [00:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [00:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 320 vu: ml
t0: [23:00:00 15/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 95 cv: 95 ap: none t0: [23:00:00 15/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 10 cv: 1026.9 ap: none t0: [23:00:00 15/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 95 cv: 3986.9 ap: none t0: [23:00:00 15/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 85 cv: 2040 ap: none t0: [23:00:00 15/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 95 cv: 356.9 ap: none t0: [23:00:00 15/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 95 cv: 7065.72 ap: carryForward
t0: [01:00:00 16/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [01:00:00 16/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:00:00 16/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [01:00:00 16/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [01:00:00 16/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [01:00:00 16/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [01:00:00 16/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.9 u1: Deg. C st: NotStopd t0: [01:00:00 16/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [01:00:00 16/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [01:00:00 16/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:00:00 16/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 16/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [01:00:00 16/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 16/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [01:00:00 16/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [01:00:00 16/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [01:00:00 16/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 16/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [01:00:00 16/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [01:00:00 16/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 16/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [00:00:00 16/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [01:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [01:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [01:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [02:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [02:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [02:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [03:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [03:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [03:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [03:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [02:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [02:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [03:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [03:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [23:00:00 16/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 16/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 3415 ap: none t0: [23:00:00 16/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 3415 ap: carryForward
t0: [04:00:00 16/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 16/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 16/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 16/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 16/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 16/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 16/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 16/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 16/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [04:00:00 16/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 16/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 16/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 16/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 16/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [04:00:00 16/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [04:00:00 16/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [04:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 16/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 16/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 16/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 16/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 16/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [04:00:00 16/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 16/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 16/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 16/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 16/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 16/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 16/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 16/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 16/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 16/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 16/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 16/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 16/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 16/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 16/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 16/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 16/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [04:00:00 16/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 16/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 16/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 16/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 16/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 16/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 16/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 16/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 16/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 16/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 16/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 16/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 16/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 16/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 16/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 16/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.7222 u1: Deg. C st: NotStopd t0: [04:00:00 16/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.7 u1: Deg. F st: NotStopd t0: [04:00:00 16/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 16/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 16/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 16/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 16/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 16/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml
t0: [03:35:00 16/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.7 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 12.7 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31.9 u1: % rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 195 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.83 u1: /mic l rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.7 rs: Final st: NotStopd
t0: [03:35:00 16/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 41 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 167 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 41 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: CPK Enzymes el: 0 cu: MICU cg: 1663 v1: 92 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 167 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: LDH Enzymes el: 0 cu: MICU cg: 1663 v1: 354 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [03:35:00 16/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [04:24:00 16/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [04:24:00 16/10/2016] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 90.9091 u1: units st: NotStopd t0: [04:24:00 16/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [04:24:00 16/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [04:24:00 16/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:24:00 16/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:24:00 16/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [04:24:00 16/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [04:24:00 16/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:24:00 16/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.9 u1: Deg. C st: NotStopd t0: [04:24:00 16/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:24:00 16/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:24:00 16/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:24:00 16/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:24:00 16/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 16.2 u1: L/min st: NotStopd t0: [04:24:00 16/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:24:00 16/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:24:00 16/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [04:24:00 16/10/2016] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 90.9091 u1: units st: NotStopd t0: [04:24:00 16/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 33 u1: BPM st: NotStopd t0: [04:24:00 16/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:24:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [04:24:00 16/10/2016] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:24:00 16/10/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.44 u1: L st: NotStopd t0: [04:24:00 16/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:24:00 16/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [04:24:00 16/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [04:24:00 16/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:24:00 16/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [04:24:00 16/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [04:24:00 16/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [04:24:00 16/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:24:00 16/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [05:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [05:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [05:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [05:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 16/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 16/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [06:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 16/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 16/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 16/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 16/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [06:00:00 16/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 16/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [06:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 16/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:00:00 16/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 16/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [06:00:00 16/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.2778 u1: Deg. C st: NotStopd t0: [06:00:00 16/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.7 u1: Deg. F st: NotStopd t0: [06:00:00 16/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 16/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 16/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 16/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done
t0: [04:00:00 16/10/2016] tf: [15:58:00 24/10/2016] dt: 12238 id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [05:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [05:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [06:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 16/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 120 vu: ml t0: [06:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [06:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [07:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 16/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [07:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [07:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [07:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [07:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml
io: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ru: ml/hr
tf: [10:00:00 17/10/2016] pt: Unit Dose rt: SC fr: BREAKFAST fs: 8 dn: 1 m1: Insulin Human NPH v1: 12 u1: UNIT
id: .9% Normal Saline el: 2 cu: MICU cg: RN io: .9% Normal Saline 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Infusion
t0: [08:00:00 16/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [08:00:00 16/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [08:00:00 16/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 16/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 16/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [08:00:00 16/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [08:00:00 16/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 16/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 16/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:00:00 16/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 16/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 16/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [08:00:00 16/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.2 u1: L/min st: NotStopd t0: [08:00:00 16/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 16/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 16/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [08:00:00 16/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [08:00:00 16/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [08:00:00 16/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 615 u1: ml/B st: NotStopd t0: [08:00:00 16/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 16/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [08:00:00 16/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [08:00:00 16/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 16/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 16/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 16/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 16/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [08:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 16/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 16/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 16/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 16/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:00:00 16/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 16/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 16/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 16/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 16/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [08:00:00 16/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [08:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 16/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 16/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 16/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 16/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [08:00:00 16/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 16/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 16/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 16/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 16/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 16/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 16/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 16/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 16/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 16/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 16/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 16/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 16/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 16/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 16/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 16/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 16/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 16/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 16/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 16/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 16/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [08:00:00 16/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 16/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 16/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.7222 u1: Deg. C st: NotStopd t0: [08:00:00 16/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.7 u1: Deg. F st: NotStopd t0: [08:00:00 16/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 16/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 16/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 16/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [09:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 16/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [09:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [09:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [09:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 16/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 90 vu: ml t0: [08:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [08:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml t0: [09:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [09:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
tf: [11:00:00 16/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Chlorothiazide v1: 125 u1: mg tf: [09:00:00 17/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Furosemide v1: 80 u1: mg tf: [10:00:00 17/10/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Sertraline HCl v1: 50 u1: mg
t0: [10:00:00 16/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [10:00:00 16/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 16/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 16/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 16/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [10:00:00 16/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [10:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [10:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 16/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [10:00:00 16/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 16/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [10:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [10:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [10:00:00 16/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 16/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 16/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 16/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [10:00:00 16/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 16/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 16/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 16/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [10:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [10:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [11:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 16/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 120 u1: BPM st: NotStopd t0: [11:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [11:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [11:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 16/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [11:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [11:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
tf: [11:00:00 17/10/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 12 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml
t0: [12:00:00 16/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [12:00:00 16/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 16/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 16/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [12:00:00 16/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 3 u1: Deg. C st: NotStopd t0: [12:00:00 16/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 16/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 16/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [12:00:00 16/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 20.5 u1: L/min st: NotStopd t0: [12:00:00 16/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 16/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 16/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [12:00:00 16/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [12:00:00 16/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 16/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 800 u1: ml/B st: NotStopd t0: [12:00:00 16/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [12:00:00 16/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 16/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 16/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 16/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [12:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 16/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 16/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 16/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 16/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 16/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 16/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 16/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [12:00:00 16/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 16/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 16/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 16/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 16/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [12:00:00 16/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [12:00:00 16/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 120 u1: BPM st: NotStopd t0: [12:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 16/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 16/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 16/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 16/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 16/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [12:00:00 16/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 16/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 16/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 16/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 16/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 16/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 16/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 16/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 16/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 16/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 16/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 16/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 16/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 16/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 16/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 16/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 16/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [12:00:00 16/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 16/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [12:00:00 16/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 16/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 16/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [12:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 16/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 16/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 16/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 16/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 16/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 16/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 16/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 16/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [12:00:00 16/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 16/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 16/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 16/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 16/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 16/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.9444 u1: Deg. C st: NotStopd t0: [12:00:00 16/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.1 u1: Deg. F st: NotStopd t0: [12:00:00 16/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 16/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 16/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 16/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 16/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 16/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [12:00:00 16/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 16/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 16/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 16/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 16/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 16/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 16/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 16/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 90 vu: ml t0: [12:00:00 16/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [12:00:00 16/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [12:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [12:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 630 vu: ml
t0: [13:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 16/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 120 u1: BPM st: NotStopd t0: [13:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [13:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [13:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [14:00:00 16/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [14:00:00 16/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 16/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 16/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [14:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [14:00:00 16/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 16/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 16/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 16/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [14:00:00 16/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 16/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 16/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 16/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 187 rs: Manual st: NotStopd
t0: [14:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 16/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [14:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [14:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [15:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 16/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 16/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [15:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 16/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 16/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 16/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [15:00:00 16/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [15:00:00 16/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [15:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 16/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [15:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 16/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 16/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 16/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 16/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [15:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
tf: [10:00:00 17/10/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 12.5 u1: mg tf: [10:00:00 17/10/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Clonazepam v1: 0.5 u1: mg
t0: [16:00:00 16/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [16:00:00 16/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [16:00:00 16/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 16/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 16/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [16:00:00 16/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [16:00:00 16/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 16/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 3 u1: Deg. C st: NotStopd t0: [16:00:00 16/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:00:00 16/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 16/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 16/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 16/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 16.7 u1: L/min st: NotStopd t0: [16:00:00 16/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 16/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 16/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [16:00:00 16/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [16:00:00 16/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [16:00:00 16/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 880 u1: ml/B st: NotStopd t0: [16:00:00 16/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 16/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [16:00:00 16/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [16:00:00 16/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 16/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 16/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [16:00:00 16/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 16/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 16/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [16:00:00 16/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [16:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 16/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 16/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 16/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 16/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 16/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 16/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [16:00:00 16/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 16/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 16/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 16/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 16/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [16:00:00 16/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [16:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [16:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 16/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 16/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 16/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [16:00:00 16/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [16:00:00 16/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 16/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 16/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 16/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 16/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 16/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 16/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 16/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 16/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 16/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 16/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 16/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 16/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [16:00:00 16/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 16/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [16:00:00 16/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 16/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 16/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 16/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 16/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 16/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 16/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 16/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 16/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [16:00:00 16/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [16:00:00 16/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 16/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 16/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 16/10/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Golden v2: Formed st: NotStopd t0: [16:00:00 16/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 16/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 16/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 39.1667 u1: Deg. C st: NotStopd t0: [16:00:00 16/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102.5 u1: Deg. F st: NotStopd t0: [16:00:00 16/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 16/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 16/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 16/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 16/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [15:00:00 16/10/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large t0: [16:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 16/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 60 vu: ml t0: [16:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [16:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [23:00:00 16/10/2016] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward
t0: [16:00:00 16/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 16/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [17:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 16/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [17:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [17:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [17:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [17:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 16/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 200 vu: ml t0: [17:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [17:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [18:00:00 16/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [18:00:00 16/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 16/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 16/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [18:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 16/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [18:00:00 16/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 16/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 16/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [18:00:00 16/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [18:00:00 16/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 16/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 16/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 16/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 176 rs: Manual st: NotStopd
t0: [18:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [18:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
tf: [05:00:00 17/10/2016] pt: Unit Dose rt: PO fr: ONCE fs: 19 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
t0: [18:54:00 16/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd t0: [18:54:00 16/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 143 rs: Final st: NotStopd
tf: [04:00:00 17/10/2016] pt: Unit Dose rt: PO fr: Q4H fs: 1, 5, 9, 13, 17, 21 dn: 6 m1: Potassium Chloride v1: 40 u1: mEq
t0: [20:14:00 16/10/2016] id: Cuff Pressure-Airway el: 0 cu: MICU cg: RRT u1: cmH2O st: NotStopd t0: [20:14:00 16/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [20:14:00 16/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:14:00 16/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:14:00 16/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [20:14:00 16/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [20:14:00 16/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:14:00 16/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:14:00 16/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:14:00 16/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [20:14:00 16/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:14:00 16/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:14:00 16/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 15.3 u1: L/min st: NotStopd t0: [20:14:00 16/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:14:00 16/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:14:00 16/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [20:14:00 16/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 36 u1: BPM st: NotStopd t0: [20:14:00 16/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:14:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:14:00 16/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:14:00 16/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Expectorated v2: Moderate st: NotStopd t0: [20:14:00 16/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [20:14:00 16/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:14:00 16/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
tf: [10:00:00 17/10/2016] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Human NPH v1: 6 u1: UNIT tf: [21:00:00 17/10/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 22 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml tf: [21:00:00 17/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 22 dn: 1 m1: Furosemide v1: 80 u1: mg
t0: [18:54:00 16/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: RN v1: 3.3 rs: Final st: NotStopd t0: [18:54:00 16/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: RN v1: 3.3 rs: Final st: NotStopd t0: [19:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [19:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [19:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [19:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 16/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 16/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 16/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 16/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 16/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 16/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 16/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 16/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [20:00:00 16/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 16/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 16/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 16/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 16/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 16/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [20:00:00 16/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [20:00:00 16/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [20:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 16/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 16/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 16/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 16/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [20:00:00 16/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 16/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 16/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 16/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 16/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 16/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 16/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 16/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 16/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 16/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 16/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 16/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 16/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 16/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 16/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 16/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 16/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 16/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [20:00:00 16/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 16/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 16/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 16/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 16/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 16/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 16/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 16/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 16/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 16/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [20:00:00 16/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [20:00:00 16/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 16/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 16/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 16/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 16/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 16/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [20:00:00 16/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [20:00:00 16/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 16/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 16/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 16/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 16/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 16/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 16/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [21:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [21:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 96 u2: mmHg st: NotStopd t0: [21:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [21:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [21:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 16/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [22:00:00 16/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 16/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [22:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [22:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [22:00:00 16/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 16/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 16/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 16/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [22:00:00 16/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 16/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 16/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 16/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [22:00:00 16/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [22:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 16/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 16/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 16/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 16/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 16/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 16/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [23:00:00 16/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 16/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [23:00:00 16/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [23:00:00 16/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 16/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 16/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 16/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [20:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 16/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [20:00:00 16/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [20:00:00 16/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [20:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [21:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 16/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 50 vu: ml t0: [21:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [21:00:00 16/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [22:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [23:00:00 16/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 16/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml
t0: [23:00:00 16/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 95 cv: 95 ap: none t0: [23:00:00 16/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 10 cv: 790 ap: none t0: [23:00:00 16/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 95 cv: 3910 ap: none t0: [23:00:00 16/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 1080 ap: none t0: [23:00:00 16/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 85 cv: 2040 ap: none t0: [23:00:00 16/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 95 cv: 495 ap: carryForward t0: [23:00:00 16/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 95 cv: 7560.72 ap: carryForward
t0: [00:12:00 17/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [00:12:00 17/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:12:00 17/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:12:00 17/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [00:12:00 17/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [00:12:00 17/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:12:00 17/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.8 u1: Deg. C st: NotStopd t0: [00:12:00 17/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:12:00 17/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [00:12:00 17/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:12:00 17/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:12:00 17/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.9 u1: L/min st: NotStopd t0: [00:12:00 17/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:12:00 17/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:12:00 17/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [00:12:00 17/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:12:00 17/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:12:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:12:00 17/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 655 u1: ml/B st: NotStopd t0: [00:12:00 17/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:12:00 17/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 17/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 17/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 17/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 17/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 17/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 17/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 17/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 17/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: RN v1: 130 rs: Manual st: NotStopd t0: [00:00:00 17/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [00:00:00 17/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 17/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 17/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 17/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 17/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 17/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 17/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [00:00:00 17/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [00:00:00 17/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [00:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 17/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 17/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 17/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 17/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [00:00:00 17/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 17/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 17/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 17/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 17/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 17/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 17/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 17/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 17/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 17/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 17/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 17/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 17/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 17/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:00:00 17/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [00:00:00 17/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 17/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 17/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 17/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 17/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 17/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 17/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 17/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [00:00:00 17/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 17/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 17/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 17/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 17/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 17/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 17/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [00:00:00 17/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.5 u1: Deg. F st: NotStopd t0: [00:00:00 17/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 17/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 17/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 17/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 17/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 17/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 17/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: DONE t0: [00:00:00 17/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 17/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [00:00:00 17/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: RN v1: 130 rs: Manual st: NotStopd t0: [01:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [01:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [01:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [01:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 17/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [02:00:00 17/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 17/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [02:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [02:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [02:00:00 17/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 17/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 17/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 17/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [02:00:00 17/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 17/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 17/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 17/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [02:00:00 17/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [02:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [03:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [03:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [03:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [00:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [01:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [02:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [02:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [03:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml
t0: [23:00:00 17/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 17/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -5 cv: -5 ap: none t0: [23:00:00 17/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 10 cv: 990 ap: none t0: [23:00:00 17/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 95 cv: 3645 ap: none t0: [23:00:00 17/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 85 cv: 1955 ap: none t0: [23:00:00 17/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 100 cv: 3890 ap: none t0: [23:00:00 17/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -5 cv: -245 ap: carryForward t0: [23:00:00 17/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 100 cv: 3890 ap: carryForward t0: [23:00:00 17/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -5 cv: 7315.72 ap: carryForward
t0: [00:00:00 17/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 17/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 17/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 17/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 17/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 17/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 17/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 17/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 17/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 17/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [04:00:00 17/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 17/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 17/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 17/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 17/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 17/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [04:00:00 17/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [04:00:00 17/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [04:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 17/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 17/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 17/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 17/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 17/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [04:00:00 17/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 17/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 17/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 17/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 17/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 17/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 17/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 17/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 17/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 17/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 17/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 17/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 17/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 17/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 17/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 17/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [04:00:00 17/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 17/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 17/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 17/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 17/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 17/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 17/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 17/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 17/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 17/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 17/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 17/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [04:00:00 17/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 17/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 17/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 17/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 17/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 17/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 17/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 17/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 17/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 17/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 17/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 17/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 17/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [04:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [04:03:00 17/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.6 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 12.6 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.9 u1: % rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 197 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.93 u1: /mic l rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.6 rs: Final st: NotStopd
t0: [05:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [05:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [05:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [05:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [05:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml
t0: [04:03:00 17/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 48 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 176 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 48 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 176 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [04:52:00 17/10/2016] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 103.125 u1: units st: NotStopd t0: [04:52:00 17/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [04:52:00 17/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:52:00 17/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:52:00 17/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [04:52:00 17/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [04:52:00 17/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:52:00 17/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.9 u1: Deg. C st: NotStopd t0: [04:52:00 17/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [04:52:00 17/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:52:00 17/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:52:00 17/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.8 u1: L/min st: NotStopd t0: [04:52:00 17/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:52:00 17/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:52:00 17/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [04:52:00 17/10/2016] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 103.125 u1: units st: NotStopd t0: [04:52:00 17/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [04:52:00 17/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:52:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [04:52:00 17/10/2016] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 33 u1: BPM st: NotStopd t0: [04:52:00 17/10/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.32 u1: L st: NotStopd t0: [04:52:00 17/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 630 u1: ml/B st: NotStopd t0: [04:52:00 17/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:52:00 17/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [06:00:00 17/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [06:00:00 17/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 17/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 17/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [06:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 17/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [06:00:00 17/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 17/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 17/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:00:00 17/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Legs st: NotStopd t0: [06:00:00 17/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 17/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 17/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 17/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 17/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 17/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done
t0: [06:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [06:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml
t0: [07:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 17/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [07:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [07:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [07:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [07:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [07:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
tf: [13:00:00 17/10/2016] pt: Unit Dose rt: SC fr: BREAKFAST fs: 8 dn: 1 m1: Insulin Human NPH v1: 12 u1: UNIT tf: [09:00:00 18/10/2016] pt: Unit Dose rt: SC fr: BREAKFAST fs: 8 dn: 1 m1: Insulin Human NPH v1: 14 u1: UNIT
t0: [08:00:00 17/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 17/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 17/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [08:00:00 17/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [08:00:00 17/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 17/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 17/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:00:00 17/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 17/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 17/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [08:00:00 17/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [08:00:00 17/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 17/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 17/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [08:00:00 17/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:00:00 17/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [08:00:00 17/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 809 u1: ml/B st: NotStopd t0: [08:00:00 17/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 17/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 17/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 17/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 17/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 17/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 17/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [08:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 17/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 17/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [08:00:00 17/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 17/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 17/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 17/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:00:00 17/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 17/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 17/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 17/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 17/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [08:00:00 17/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [08:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 17/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 17/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 17/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 17/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [08:00:00 17/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 17/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 17/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 17/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 17/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 17/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 17/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 17/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 17/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 17/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 17/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 17/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 17/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [08:00:00 17/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 17/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [08:00:00 17/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 17/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 17/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 17/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 17/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 17/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 17/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 17/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 17/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 17/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [08:00:00 17/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 17/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 17/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 17/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 17/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 17/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 17/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 17/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [08:00:00 17/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [08:00:00 17/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Pink v2: Sediment st: NotStopd t0: [08:00:00 17/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 17/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 17/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Restless st: NotStopd t0: [08:00:00 17/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 17/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 17/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 17/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 17/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 17/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 17/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 17/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 17/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [08:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [08:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [09:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 17/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 17/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 17/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [09:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 17/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 17/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [09:00:00 17/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 17/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [09:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [09:00:00 17/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [09:00:00 17/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [09:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 17/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 17/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 17/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 17/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 17/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 17/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 17/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 17/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done
t0: [09:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [09:00:00 17/10/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large t0: [09:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [10:00:00 17/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [10:00:00 17/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 17/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 17/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 17/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [10:00:00 17/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [10:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [10:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 17/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [10:00:00 17/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 17/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [10:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [10:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [10:00:00 17/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 17/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 17/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 17/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [10:00:00 17/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 17/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 17/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 17/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [10:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [10:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
tf: [13:00:00 17/10/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [10:00:00 18/10/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml tf: [10:00:00 18/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Furosemide v1: 100 u1: mg tf: [14:00:00 20/10/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 0, 12 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [11:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 17/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [11:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [11:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [11:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 17/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 60 vu: ml t0: [11:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [11:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [04:03:00 17/10/2016] id: Albumin Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Total Bili Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 57 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 59 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 75 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Amylase Enzymes el: 0 cu: MICU cg: 1663 v1: 79 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: LDH Enzymes el: 0 cu: MICU cg: 1663 v1: 369 rs: Final st: NotStopd t0: [04:03:00 17/10/2016] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.5 rs: Final st: NotStopd
t0: [12:00:00 17/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 17/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 17/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 17/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [12:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 17/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 17/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 17/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 17/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 17/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 17/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [12:00:00 17/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 17/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 17/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 17/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 17/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 17/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [12:00:00 17/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [12:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [12:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 17/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 17/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 17/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 17/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 17/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [12:00:00 17/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 17/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 17/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 17/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 17/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 17/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 17/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 17/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 17/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Exp Wheeze st: NotStopd t0: [12:00:00 17/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Exp Wheeze st: NotStopd t0: [12:00:00 17/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 17/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 17/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 17/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [12:00:00 17/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 17/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 17/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 17/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 17/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 17/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 17/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 17/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 17/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [12:00:00 17/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [12:00:00 17/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 17/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 17/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 17/10/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Golden v2: Soft st: NotStopd t0: [12:00:00 17/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 17/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 17/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.8889 u1: Deg. C st: NotStopd t0: [12:00:00 17/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 102 u1: Deg. F st: NotStopd t0: [12:00:00 17/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 17/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 17/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 17/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 17/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 179 rs: Manual st: NotStopd t0: [12:00:00 17/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [12:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml
t0: [12:00:00 17/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 350 vu: ml t0: [12:00:00 17/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 280 vu: ml t0: [12:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml
t0: [12:00:00 17/10/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Pan Cultured st: NotStopd t0: [13:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 17/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [13:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [13:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [13:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [13:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
tf: [09:00:00 18/10/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [13:00:00 17/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 17/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [13:00:00 17/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [13:00:00 17/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [13:00:00 17/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [13:00:00 17/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [13:00:00 17/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [13:00:00 17/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [13:00:00 17/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [13:00:00 17/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 17/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.3 u1: L/min st: NotStopd t0: [13:00:00 17/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 17/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [13:00:00 17/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [13:00:00 17/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [13:00:00 17/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 17/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 790 u1: ml/B st: NotStopd t0: [13:00:00 17/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [13:00:00 17/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [14:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [14:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [14:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [14:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [14:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [14:00:00 17/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [14:00:00 17/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 17/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 17/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [14:00:00 17/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 17/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 17/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 17/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [14:00:00 17/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 17/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [14:00:00 17/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [14:00:00 17/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 17/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 17/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 17/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 17/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 17/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 17/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [14:00:00 17/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 17/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 17/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 17/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [14:00:00 17/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [14:00:00 17/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 17/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 17/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [15:00:00 17/10/2016] id: Radiologic Study el: 0 cu: MICU cg: RN v1: CT scan st: NotStopd
t0: [14:00:00 17/10/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large t0: [15:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vu: ml st: Stopped t0: [15:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
tf: [12:00:00 19/10/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 25 u1: mg tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Clonazepam v1: 1 u1: mg
t0: [16:20:00 17/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:20:00 17/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:20:00 17/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [16:20:00 17/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [16:20:00 17/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:20:00 17/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:20:00 17/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [16:20:00 17/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [16:20:00 17/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:20:00 17/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:20:00 17/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 16.2 u1: L/min st: NotStopd t0: [16:20:00 17/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:20:00 17/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:20:00 17/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [16:20:00 17/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [16:20:00 17/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:20:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 95 u1: % st: NotStopd t0: [16:20:00 17/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 800 u1: ml/B st: NotStopd t0: [16:20:00 17/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:20:00 17/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [15:00:00 17/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: Flat in Bed st: NotStopd t0: [15:00:00 17/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 17/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [15:00:00 17/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [15:00:00 17/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [15:00:00 17/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [15:00:00 17/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [15:00:00 17/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 17/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 17/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [16:00:00 17/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 17/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [16:00:00 17/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [16:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 17/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 17/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 17/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 17/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 17/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 17/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [16:00:00 17/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 17/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 17/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 17/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 17/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 17/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [16:00:00 17/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [16:00:00 17/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [16:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 17/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 17/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 17/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 17/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [16:00:00 17/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [16:00:00 17/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 17/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 17/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 17/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 17/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 17/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [16:00:00 17/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 17/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 17/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 17/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 17/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 17/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 17/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 17/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 17/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 17/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 17/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [16:00:00 17/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 17/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [16:00:00 17/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 17/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 17/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 17/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 17/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 17/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 17/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 17/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 17/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 17/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [16:00:00 17/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [16:00:00 17/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 17/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 17/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 17/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 17/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 17/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 17/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 17/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 17/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [16:00:00 17/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 17/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 17/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [16:00:00 17/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [16:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 17/10/2016] tf: [16:00:00 19/10/2016] dt: 2880 id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [16:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 500 vu: ml
t0: [17:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 17/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [17:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [17:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [17:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 17/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [17:00:00 17/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.5556 u1: Deg. C st: NotStopd t0: [17:00:00 17/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.4 u1: Deg. F st: NotStopd t0: [17:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 17/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 168 vu: ml t0: [16:00:00 17/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 200 vu: ml t0: [17:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [17:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [17:09:00 17/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [17:09:00 17/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd
t0: [18:00:00 17/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [18:00:00 17/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 17/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 17/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [18:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 17/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [18:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [18:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 17/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [18:00:00 17/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 17/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [18:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [18:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [18:00:00 17/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 17/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 17/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 17/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Left Arm st: NotStopd t0: [18:00:00 17/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 17/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 17/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 17/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [18:00:00 17/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 17/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [18:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 17/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Restless st: NotStopd
t0: [18:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 17/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 60 vu: ml t0: [18:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [18:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [18:00:00 17/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWork v1: 187 rs: Manual st: NotStopd
t0: [19:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 17/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [19:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 122 u1: BPM st: NotStopd t0: [19:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [19:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [19:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
tf: [18:00:00 18/10/2016] pt: Unit Dose rt: PO fr: ONCE fs: 19 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
t0: [20:04:00 17/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [20:04:00 17/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:04:00 17/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:04:00 17/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [20:04:00 17/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [20:04:00 17/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:04:00 17/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.1 u1: Deg. C st: NotStopd t0: [20:04:00 17/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [20:04:00 17/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [20:04:00 17/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [20:04:00 17/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [20:04:00 17/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.7 u1: L/min st: NotStopd t0: [20:04:00 17/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:04:00 17/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [20:04:00 17/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [20:04:00 17/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:04:00 17/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:04:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:04:00 17/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 810 u1: ml/B st: NotStopd t0: [20:04:00 17/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:04:00 17/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 17/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 17/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 17/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 17/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 17/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 17/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 17/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 17/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [20:00:00 17/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 17/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 17/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 17/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 17/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [20:00:00 17/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [20:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 122 u1: BPM st: NotStopd t0: [20:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 17/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 17/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 17/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 17/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [20:00:00 17/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 17/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 17/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 17/10/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 1 st: NotStopd t0: [20:00:00 17/10/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [20:00:00 17/10/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 17/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 17/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 17/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 17/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 17/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [20:00:00 17/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [20:00:00 17/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 17/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 17/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 17/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 17/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 17/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 17/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 17/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [20:00:00 17/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 17/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 17/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [20:00:00 17/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 17/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 17/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [20:00:00 17/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 17/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [20:00:00 17/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 17/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 17/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 17/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 17/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 17/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6667 u1: Deg. C st: NotStopd t0: [20:00:00 17/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.6 u1: Deg. F st: NotStopd t0: [20:00:00 17/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [20:00:00 17/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 17/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 17/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 17/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 17/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 17/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 17/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 17/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 17/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 17/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 17/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 17/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [20:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [20:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [20:00:00 17/10/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd
t0: [20:00:00 17/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [20:00:00 17/10/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large
t0: [23:00:00 17/10/2016] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward
t0: [21:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 17/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [21:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 17/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 17/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [21:00:00 17/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 17/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 92 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [21:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [21:00:00 17/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 17/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [21:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [21:00:00 17/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [21:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [21:00:00 17/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 17/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 17/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 17/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [21:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [22:00:00 17/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [22:00:00 17/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.4 u1: L/min st: NotStopd t0: [22:00:00 17/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [22:00:00 17/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [22:00:00 17/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 530 u1: ml/B st: NotStopd
tf: [13:00:00 17/10/2016] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Human NPH v1: 8 u1: UNIT tf: [09:00:00 18/10/2016] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Human NPH v1: 8 u1: UNIT tf: [21:00:00 18/10/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Acetylcysteine 20% v1: 600 u1: mg tf: [21:00:00 18/10/2016] pt: Unit Dose rt: PO fr: ONCE fs: 22 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
t0: [22:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [22:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [22:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [22:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [22:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 17/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 50 vu: ml t0: [22:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [22:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml
t0: [23:00:00 17/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 700 ap: none
t0: [23:00:00 17/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 17/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 17/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 17/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 17/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 17/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [23:00:00 17/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 17/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [23:00:00 17/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [23:00:00 17/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [23:00:00 17/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:00:00 17/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 17/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 17/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 17/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [23:00:00 17/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [00:04:00 18/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [00:04:00 18/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:04:00 18/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:04:00 18/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [00:04:00 18/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [00:04:00 18/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:04:00 18/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:04:00 18/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [00:04:00 18/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [00:04:00 18/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [00:04:00 18/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.2 u1: L/min st: NotStopd t0: [00:04:00 18/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:04:00 18/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [00:04:00 18/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [00:04:00 18/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:04:00 18/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:04:00 18/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:04:00 18/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:04:00 18/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:04:00 18/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 17/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 18/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 18/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 18/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 18/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 18/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 18/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 18/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 18/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 18/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 18/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 18/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 18/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 18/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 18/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 18/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 18/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 18/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 18/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 18/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 18/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [00:00:00 18/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [00:00:00 18/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [00:00:00 18/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 18/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 18/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 18/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 18/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 18/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [00:00:00 18/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 18/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 18/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 18/10/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 1 st: NotStopd t0: [00:00:00 18/10/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [00:00:00 18/10/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 18/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 18/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 18/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 18/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 18/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 18/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 18/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 18/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 18/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 18/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 18/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 18/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 18/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 18/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 18/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 18/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [00:00:00 18/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 18/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 18/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 18/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [00:00:00 18/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 18/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [00:00:00 18/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 18/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [00:00:00 18/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 18/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 18/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 18/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [00:00:00 18/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 18/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 18/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 18/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 18/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 18/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 18/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [00:00:00 18/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [00:00:00 18/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [00:00:00 18/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 18/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 18/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 18/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 18/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 192 rs: Manual st: NotStopd t0: [00:00:00 18/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 18/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 18/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 200 vu: ml t0: [00:00:00 18/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 30 vu: ml t0: [00:00:00 18/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [00:00:00 18/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [00:00:00 18/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 18/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 18/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 18/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 18/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd
t0: [01:00:00 18/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 18/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 18/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 18/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 18/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 18/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [01:00:00 18/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 18/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:00:00 18/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [01:00:00 18/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [01:00:00 18/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [01:00:00 18/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 18/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 18/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 18/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [01:00:00 18/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 15 vu: ml
t0: [02:00:00 18/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 18/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 18/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 18/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 18/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 18/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [02:00:00 18/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 18/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [02:00:00 18/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [02:00:00 18/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [02:00:00 18/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 18/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 18/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 18/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 18/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [02:00:00 18/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [23:00:00 18/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 18/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 420 ap: none t0: [23:00:00 18/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN cv: 1020 ap: none t0: [23:00:00 18/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 785 ap: none t0: [23:00:00 18/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 785 ap: carryForward
t0: [02:00:00 18/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml
t0: [23:00:00 18/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 18/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 2050 ap: none t0: [23:00:00 18/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 610 ap: none t0: [23:00:00 18/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN cv: 1265 ap: carryForward t0: [23:00:00 18/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN cv: 8580.72 ap: carryForward
t0: [03:00:00 18/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 18/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 18/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 18/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 18/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 18/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [03:00:00 18/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 18/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [03:00:00 18/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [03:00:00 18/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [03:00:00 18/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [03:00:00 18/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [03:00:00 18/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [03:00:00 18/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 18/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [03:00:00 18/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [03:00:00 18/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 18/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 18/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 18/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 18/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 18/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 18/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 18/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 18/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 18/10/2016] id: IV #1 Reason DC'D el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 18/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 18/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 18/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 18/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 18/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 18/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [04:00:00 18/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 18/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 18/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 18/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 18/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 18/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [04:00:00 18/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [04:00:00 18/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [04:00:00 18/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 18/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 18/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 18/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 18/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 18/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 18/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [04:00:00 18/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 18/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 18/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 18/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 18/10/2016] id: IV #1 D/C Date el: 0 cu: MICU cg: RN v1: 9 v2: 2 st: NotStopd t0: [04:00:00 18/10/2016] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 1 st: NotStopd t0: [04:00:00 18/10/2016] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [04:00:00 18/10/2016] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 18/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 18/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 18/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 18/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 18/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 18/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 18/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 18/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 18/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 18/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 18/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 18/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 18/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 18/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 18/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [04:00:00 18/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [04:00:00 18/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 18/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 18/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [04:00:00 18/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 18/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 18/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 18/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [04:00:00 18/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 18/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [04:00:00 18/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 18/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [04:00:00 18/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 18/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 18/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 18/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 18/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 18/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 18/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 18/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 18/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 18/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 18/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.2778 u1: Deg. C st: NotStopd t0: [04:00:00 18/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.9 u1: Deg. F st: NotStopd t0: [04:00:00 18/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [04:00:00 18/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 18/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 18/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 18/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 18/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [03:00:00 18/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 18/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [03:00:00 18/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml t0: [04:00:00 18/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 18/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [04:00:00 18/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 45 vu: ml t0: [04:00:00 18/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [04:00:00 18/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml
t0: [04:33:00 18/10/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [04:33:00 18/10/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [04:33:00 18/10/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:33:00 18/10/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [04:33:00 18/10/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 133 u1: mmHg rs: Final st: NotStopd t0: [04:33:00 18/10/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [04:20:00 18/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 33.2 u1: % rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 224 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.92 u1: /mic l rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd
t0: [04:20:00 18/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 60 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 211 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 60 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 211 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [05:00:00 18/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 18/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 18/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 18/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 18/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 18/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 18/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 18/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [05:00:00 18/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 18/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 18/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 18/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [05:00:00 18/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81.3333 u1: mmHg st: NotStopd t0: [05:00:00 18/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 18/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 18/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [05:00:00 18/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [05:00:00 18/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [05:00:00 18/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [05:00:00 18/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [05:00:00 18/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 18/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 18/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 18/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 18/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 18/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 18/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 18/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 18/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done
t0: [05:00:00 18/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 18/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [05:00:00 18/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [05:24:00 18/10/2016] id: Cuff Pressure-Airway el: 0 cu: MICU cg: RRT u1: cmH2O st: NotStopd t0: [05:24:00 18/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [05:24:00 18/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:24:00 18/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:24:00 18/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [05:24:00 18/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [05:24:00 18/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:24:00 18/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.1 u1: Deg. C st: NotStopd t0: [05:24:00 18/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [05:24:00 18/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [05:24:00 18/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:24:00 18/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 16.2 u1: L/min st: NotStopd t0: [05:24:00 18/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:24:00 18/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [05:24:00 18/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [05:24:00 18/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [05:24:00 18/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:24:00 18/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [05:24:00 18/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [05:24:00 18/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [05:24:00 18/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:24:00 18/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:24:00 18/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [06:00:00 18/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 18/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 18/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 18/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 18/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 18/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [06:00:00 18/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 18/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [06:00:00 18/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [06:00:00 18/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [06:00:00 18/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [06:00:00 18/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [06:00:00 18/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [06:00:00 18/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 18/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 18/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 18/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 35 vu: ml t0: [06:00:00 18/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [06:00:00 18/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
tf: [05:00:00 19/10/2016] pt: Unit Dose rt: PO fr: ONCE fs: 6 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq tf: [05:00:00 19/10/2016] pt: Unit Dose rt: PO fr: ONCE fs: 6 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
t0: [04:00:00 18/10/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd
t0: [04:00:00 18/10/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large
t0: [23:00:00 18/10/2016] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward
t0: [04:20:00 18/10/2016] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 5.8 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 14.1 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [04:20:00 18/10/2016] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 77.2 rs: Final st: NotStopd
t0: [06:00:00 18/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWker v1: 180 rs: Manual st: NotStopd
t0: [08:00:00 18/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 18/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 18/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 18/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 18/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 18/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 18/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 18/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 18/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 18/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 18/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 18/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:00:00 18/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 18/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 18/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 18/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 18/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 18/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 8 v2: 21 st: NotStopd t0: [08:00:00 18/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 18/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [08:00:00 18/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 18/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 18/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 18/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 18/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 18/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Upper Arm st: NotStopd t0: [08:00:00 18/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 18/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 18/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 18/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 18/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 18/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 18/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 18/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 18/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 18/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 18/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 18/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 18/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 18/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 18/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 18/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 18/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 18/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 18/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 18/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 18/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [08:00:00 18/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 18/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 18/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [08:00:00 18/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 18/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 18/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 18/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 18/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 18/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 18/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 18/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 18/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 18/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 18/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 18/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 18/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 18/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 18/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [08:00:00 18/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [08:00:00 18/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [08:00:00 18/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 18/10/2016] id: BSA - English el: 0 cu: MICU cg: RN v1: 1.80698 u1: m2 st: NotStopd t0: [08:00:00 18/10/2016] id: BSA - Metric el: 0 cu: MICU cg: RN v1: 2.09269 u1: m2 st: NotStopd t0: [08:00:00 18/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 18/10/2016] id: Daily Weight el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [08:00:00 18/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 18/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 18/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 18/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 18/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 18/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 18/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 18/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 18/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 18/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [08:00:00 18/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 18/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [08:00:00 18/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [08:00:00 18/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [08:00:00 18/10/2016] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 82.5 u1: units st: NotStopd t0: [08:00:00 18/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [08:00:00 18/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 18/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 18/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [08:00:00 18/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [08:00:00 18/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 18/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.1 u1: Deg. C st: NotStopd t0: [08:00:00 18/10/2016] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 7 v2: 23 st: NotStopd t0: [08:00:00 18/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 18/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 18/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 17 u1: L/min st: NotStopd t0: [08:00:00 18/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 18/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [08:00:00 18/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 18/10/2016] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 82.5 u1: units st: NotStopd t0: [08:00:00 18/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [08:00:00 18/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 18/10/2016] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 33 u1: BPM st: NotStopd t0: [08:00:00 18/10/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.4 u1: L st: NotStopd t0: [08:00:00 18/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [08:00:00 18/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 18/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 18/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 18/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [09:00:00 18/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 18/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 18/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 18/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 18/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 18/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 18/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [09:00:00 18/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 18/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 18/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 18/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [09:00:00 18/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 18/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [09:00:00 18/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 18/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 18/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 18/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Tan v2: Thick st: NotStopd t0: [09:00:00 18/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [09:00:00 18/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 18/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: done
t0: [09:00:00 18/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 18/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [09:00:00 18/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
tf: [15:00:00 21/10/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Humulin-R Insulin v1: 100 u1: UNIT m2: NS v2: 100 u2: ml
t0: [10:00:00 18/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 18/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 18/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 18/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 18/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 18/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [10:00:00 18/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 18/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [10:00:00 18/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [10:00:00 18/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [10:00:00 18/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [10:00:00 18/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:00:00 18/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 18/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [10:00:00 18/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [10:00:00 18/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [10:00:00 18/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 18/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 18/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 18/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 18/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 18/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [11:00:00 18/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN st: NotStopd t0: [11:00:00 18/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [11:00:00 18/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 18/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 18/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [10:00:00 18/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [10:00:00 18/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 18/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [10:00:00 18/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml
id: Insulin el: 200 cu: MICU cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions am: 100 du: Uhr rt: IV Drip
io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ra: 2 ru: ml/hr
id: .9% Normal Saline el: 2 cu: MICU cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [11:00:00 18/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 18/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 18/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 18/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 18/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 18/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [11:00:00 18/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 18/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [11:00:00 18/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [11:00:00 18/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 18/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [11:00:00 18/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [11:00:00 18/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 18/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 18/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 197 rs: Manual st: NotStopd
t0: [11:00:00 18/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 18/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [11:00:00 18/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [11:00:00 18/10/2016] tf: [15:58:00 24/10/2016] dt: 8938 id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:45:00 19/10/2016] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [03:45:00 19/10/2016] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [03:45:00 19/10/2016] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [03:45:00 19/10/2016] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [03:45:00 19/10/2016] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 142 u1: mmHg rs: Final st: NotStopd t0: [03:45:00 19/10/2016] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [03:30:00 19/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30 u1: % rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 230 rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.56 u1: /mic l rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd
t0: [03:30:00 19/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 70 rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 70 rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [03:30:00 19/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [07:00:00 19/10/2016] id: Intubation Date el: 0 cu: MICU cg: -1 st: D/C'd
t0: [07:00:00 19/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 19/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [07:00:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [07:00:00 19/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [07:00:00 19/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [07:00:00 19/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [07:00:00 19/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [07:00:00 19/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [07:00:00 19/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [07:00:00 19/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [07:00:00 19/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [07:00:00 19/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [07:00:00 19/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14.4 u1: L/min st: NotStopd t0: [07:00:00 19/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:00:00 19/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [07:00:00 19/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 8 u1: . st: NotStopd t0: [07:00:00 19/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 36 u1: BPM st: NotStopd t0: [07:00:00 19/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 36 u1: BPM st: NotStopd t0: [07:00:00 19/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [07:00:00 19/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 19/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [07:00:00 19/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [07:00:00 19/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [07:00:00 19/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [07:00:00 19/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd
t0: [07:00:00 19/10/2016] id: Cuff Pressure-Airway el: 0 cu: MICU cg: RRT u1: cmH2O st: NotStopd t0: [07:00:00 19/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd
t0: [09:00:00 19/10/2016] id: D5W 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 168 vo: 0 st: D/C'd
id: .9% Normal Saline el: 4 cu: MICU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [08:00:00 19/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 19/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 19/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [08:00:00 19/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 19/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 19/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 19/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 19/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 19/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 19/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 19/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 19/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 19/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 19/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 19/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 19/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 19/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 19/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [08:00:00 19/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 19/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 19/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 19/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 19/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 19/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 19/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 19/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 19/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 19/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 19/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 19/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [08:00:00 19/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 19/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 19/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 19/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 19/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 19/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 19/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 19/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 19/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:00:00 19/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 19/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 19/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 19/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 19/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 19/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [08:00:00 19/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 19/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 19/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 19/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 19/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 19/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:00:00 19/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 19/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 19/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 19/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 19/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 19/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 19/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 19/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [08:00:00 19/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [08:00:00 19/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [08:00:00 19/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 19/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 19/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 19/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 19/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 120 rs: Manual st: NotStopd t0: [08:00:00 19/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 19/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 19/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 19/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 19/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 19/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 19/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 19/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 19/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 19/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 19/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 19/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 19/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 19/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [09:00:00 19/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 19/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 19/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [09:00:00 19/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 19/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [09:00:00 19/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [09:00:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 19/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 19/10/2016] tf: [15:58:00 24/10/2016] dt: 7678 id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 19/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 90 vu: ml t0: [08:00:00 19/10/2016] tf: [23:00:00 21/10/2016] dt: 3780 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 11 vu: ml t0: [08:00:00 19/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [08:00:00 19/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [08:00:00 19/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml t0: [09:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 19/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 11 vu: ml t0: [09:00:00 19/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [09:00:00 19/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [08:00:00 19/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: Uhr sv: 100 su: ml rt: IV Drip t0: [09:00:00 19/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 19/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 19/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 19/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 19/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 19/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 19/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [10:00:00 19/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 19/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [10:00:00 19/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [10:00:00 19/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 19/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [10:00:00 19/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [10:00:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 19/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 19/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 109 rs: Manual st: NotStopd
t0: [10:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 19/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 8 vu: ml t0: [10:00:00 19/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [10:00:00 19/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [10:00:00 19/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 19/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [11:00:00 19/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: Other/Remarks st: NotStopd t0: [11:00:00 19/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [11:00:00 19/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 19/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:00:00 19/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [11:00:00 19/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [11:00:00 19/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [11:00:00 19/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [11:00:00 19/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [11:00:00 19/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [11:00:00 19/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [11:00:00 19/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.7 u1: L/min st: NotStopd t0: [11:00:00 19/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 19/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [11:00:00 19/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 8 u1: . st: NotStopd t0: [11:00:00 19/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [11:00:00 19/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [11:00:00 19/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:00:00 19/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [11:00:00 19/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [11:00:00 19/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 19/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [11:00:00 19/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [11:00:00 19/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [11:00:00 19/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [11:00:00 19/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [11:00:00 19/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [11:05:00 19/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd
t0: [12:00:00 19/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Trach Mask st: NotStopd t0: [12:00:00 19/10/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 14 u1: lpm st: NotStopd t0: [12:00:00 19/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 26 u1: BPM st: NotStopd
t0: [11:00:00 19/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 19/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 19/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 19/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 19/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 119 u1: BPM st: NotStopd t0: [11:00:00 19/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 19/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 19/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [11:00:00 19/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 19/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [11:00:00 19/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 19/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 19/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 19/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 19/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 19/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 19/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 19/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 19/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 19/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 19/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 19/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 19/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 19/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 19/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 19/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 19/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 19/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 19/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 19/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [12:00:00 19/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 19/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [12:00:00 19/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 19/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 19/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [12:00:00 19/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 19/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 19/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 19/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 19/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 19/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 19/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [12:00:00 19/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 19/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 19/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [12:00:00 19/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 19/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 19/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [12:00:00 19/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 19/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 19/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 19/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 19/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 19/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 19/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 19/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 19/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 19/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 19/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 19/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [12:00:00 19/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 19/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 19/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 19/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [12:00:00 19/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 19/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 19/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 19/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 19/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 19/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 19/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 19/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 19/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 19/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 19/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 19/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [12:00:00 19/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [12:00:00 19/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [12:00:00 19/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 19/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [12:00:00 19/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 19/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 19/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 19/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 19/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [11:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 19/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 19/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 8 vu: ml t0: [11:00:00 19/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [11:00:00 19/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [11:00:00 19/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [11:00:00 19/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip t0: [12:00:00 19/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 19/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 129 rs: Manual st: NotStopd
t0: [12:30:00 19/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [12:30:00 19/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:30:00 19/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:30:00 19/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [12:30:00 19/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [12:30:00 19/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:30:00 19/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:30:00 19/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [12:30:00 19/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:30:00 19/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 15.8 u1: L/min st: NotStopd t0: [12:30:00 19/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:30:00 19/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [12:30:00 19/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:30:00 19/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [12:30:00 19/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:30:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:30:00 19/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [12:30:00 19/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [12:30:00 19/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [12:30:00 19/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:30:00 19/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 19/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd
t0: [12:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 19/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 8 vu: ml t0: [12:00:00 19/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [12:00:00 19/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [13:00:00 19/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 19/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 19/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 19/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 19/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 19/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 19/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [13:00:00 19/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 19/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 19/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [13:00:00 19/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 19/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [13:00:00 19/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [13:00:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 19/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 19/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 136 rs: Manual st: NotStopd
t0: [13:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 19/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 10 vu: ml t0: [13:00:00 19/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 200 vu: ml t0: [13:00:00 19/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [13:00:00 19/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 30 vu: ml
t0: [13:00:00 19/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 19/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 19/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 19/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 19/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 19/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 19/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 19/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [14:00:00 19/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 19/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 19/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [14:00:00 19/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 19/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [14:00:00 19/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [14:00:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 19/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 19/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [14:00:00 19/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 10 vu: ml t0: [14:00:00 19/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [14:00:00 19/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [14:00:00 19/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [14:00:00 19/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 19/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 19/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 19/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 19/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 19/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 19/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 19/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [15:00:00 19/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 19/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:00:00 19/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [15:00:00 19/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 19/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [15:00:00 19/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [15:00:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 19/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 19/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 10 vu: ml t0: [15:00:00 19/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [15:00:00 19/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [15:00:00 19/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [09:00:00 23/10/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 37.5 u1: mg
t0: [15:30:00 19/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:30:00 19/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [16:30:00 19/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:30:00 19/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:30:00 19/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [16:30:00 19/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [16:30:00 19/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:30:00 19/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:30:00 19/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [16:30:00 19/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:30:00 19/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:30:00 19/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 14.2 u1: L/min st: NotStopd t0: [16:30:00 19/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:30:00 19/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 30 st: NotStopd t0: [16:30:00 19/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 8 u1: . st: NotStopd t0: [16:30:00 19/10/2016] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [16:30:00 19/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [16:30:00 19/10/2016] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:30:00 19/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:30:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:30:00 19/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [16:30:00 19/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [16:30:00 19/10/2016] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [16:30:00 19/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [16:30:00 19/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:30:00 19/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 19/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 19/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 19/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 19/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 19/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 19/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: Flat in Bed st: NotStopd t0: [16:00:00 19/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [16:00:00 19/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 19/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 19/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [16:00:00 19/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 19/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 19/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 19/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 19/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [16:00:00 19/10/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 19/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [16:00:00 19/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 19/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 19/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [17:00:00 19/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [17:00:00 19/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [17:00:00 19/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 19/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 19/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 19/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [17:00:00 19/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [17:00:00 19/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 19/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [17:00:00 19/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Weak Palpable st: NotStopd t0: [17:00:00 19/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 19/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 19/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [17:00:00 19/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [17:00:00 19/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [17:00:00 19/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [17:00:00 19/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [17:00:00 19/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [17:00:00 19/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [17:00:00 19/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [17:00:00 19/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 90 degrees st: NotStopd t0: [17:00:00 19/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [17:00:00 19/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 19/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 19/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 19/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [17:00:00 19/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 19/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [17:00:00 19/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [17:00:00 19/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [17:00:00 19/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 19/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [17:00:00 19/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 19/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 19/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [17:00:00 19/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Abrasion st: NotStopd t0: [17:00:00 19/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [17:00:00 19/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [17:00:00 19/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [17:00:00 19/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [17:00:00 19/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [17:00:00 19/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [17:00:00 19/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 19/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 19/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [17:00:00 19/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [17:00:00 19/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [17:00:00 19/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 19/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 19/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 118 u2: mmHg st: NotStopd t0: [17:00:00 19/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [17:00:00 19/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 19/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 119 u1: mmHg st: NotStopd t0: [17:00:00 19/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [17:00:00 19/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Easily Palpable v2: Weak Palpable st: NotStopd t0: [17:00:00 19/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [17:00:00 19/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 19/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 19/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [17:00:00 19/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [17:00:00 19/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [17:00:00 19/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 19/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 19/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [17:00:00 19/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [17:00:00 19/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 19/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 19/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 19/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [17:00:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 19/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [17:00:00 19/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [17:00:00 19/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [17:00:00 19/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [17:00:00 19/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [17:00:00 19/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [17:00:00 19/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [17:00:00 19/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 19/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [17:00:00 19/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 19/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 19/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 19/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 19/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [17:00:00 19/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [16:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 19/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 10 vu: ml t0: [17:00:00 19/10/2016] tf: [15:58:00 24/10/2016] dt: 7138 id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vu: ml st: Stopped t0: [17:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 19/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 10 vu: ml t0: [17:00:00 19/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml nb: 1 t0: [17:00:00 19/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [16:00:00 19/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 19/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 140 rs: Manual st: NotStopd
t0: [17:00:00 19/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:15:00 19/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:15:00 19/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [17:15:00 19/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Trach Mask st: NotStopd t0: [17:15:00 19/10/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 14 u1: lpm st: NotStopd t0: [17:30:00 19/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [17:30:00 19/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:30:00 19/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [17:00:00 19/10/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [17:00:00 19/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [18:00:00 19/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 19/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 19/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 19/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 19/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 19/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 19/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [18:00:00 19/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 19/10/2016] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:00:00 19/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [18:00:00 19/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 19/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [18:00:00 19/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [18:00:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 19/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 4 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 19/10/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large t0: [18:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 19/10/2016] tf: [15:58:00 24/10/2016] dt: 7078 id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 19/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 12 vu: ml t0: [18:00:00 19/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [18:00:00 19/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [18:00:00 19/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 19/10/2016] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward
t0: [18:00:00 19/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 200 vu: ml
t0: [18:00:00 19/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 132 rs: Manual st: NotStopd
t0: [19:00:00 19/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 19/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 19/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 19/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 19/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 19/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [19:00:00 19/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 19/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [19:00:00 19/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 59.3333 u1: mmHg st: NotStopd t0: [19:00:00 19/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 19/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [19:00:00 19/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [19:00:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 19/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 19/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 12 vu: ml t0: [19:00:00 19/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [19:00:00 19/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [19:00:00 19/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 19/10/2016] id: INV Line#1 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [19:00:00 19/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [19:00:00 19/10/2016] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 st: D/C'd t0: [19:00:00 19/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 st: D/C'd t0: [19:00:00 19/10/2016] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [19:00:00 19/10/2016] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 st: D/C'd
tf: [18:00:00 20/10/2016] pt: Unit Dose rt: IH fr: ONCE fs: 19 dn: 1 m1: Lidocaine 1% v1: 1.25 u1: ml
t0: [18:00:00 19/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [18:00:00 19/10/2016] id: INV Line#1 D/C Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [18:00:00 19/10/2016] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 19/10/2016] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [18:00:00 19/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [18:00:00 19/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [18:00:00 19/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [18:00:00 19/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd
t0: [20:00:00 19/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 126 rs: Manual st: NotStopd
t0: [20:00:00 19/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: CRT v1: 8 v2: 22 st: NotStopd t0: [20:00:00 19/10/2016] id: Cuff Leak el: 0 cu: MICU cg: CRT v1: No st: NotStopd t0: [20:00:00 19/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 25 t0: [20:00:00 19/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 19/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 19/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 45 u1: BPM st: NotStopd t0: [20:00:00 19/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.0 mm st: NotStopd t0: [20:00:00 19/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Tracheostomy st: NotStopd t0: [20:00:00 19/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 19/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [20:00:00 19/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 19/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 19/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 11.6 u1: L/min st: NotStopd t0: [20:00:00 19/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 19/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 25 st: NotStopd t0: [20:00:00 19/10/2016] id: Pressure Support el: 0 cu: MICU cg: CRT v1: 10 u1: . st: NotStopd t0: [20:00:00 19/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 25 u1: BPM st: NotStopd t0: [20:00:00 19/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: CRT v1: 100 u1: % st: NotStopd t0: [20:00:00 19/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: CRT v1: 464 u1: ml/B st: NotStopd t0: [20:00:00 19/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: CRT v1: Yes v2: No st: NotStopd t0: [20:00:00 19/10/2016] id: Trach Size el: 0 cu: MICU cg: CRT v1: #7 st: NotStopd t0: [20:00:00 19/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: CRT v1: Inflated st: NotStopd t0: [20:00:00 19/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: CRT v1: Shiley st: NotStopd t0: [20:00:00 19/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CPAP+PS st: NotStopd t0: [20:00:00 19/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: 7200A st: NotStopd
t0: [20:00:00 19/10/2016] id: OR Crystalloid OR Intake el: 1 cu: MICU cg: -1 ai: 274 vo: 0 st: D/C'd t0: [20:00:00 19/10/2016] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU cg: -1 ai: 228 vo: 0 st: D/C'd
t0: [20:00:00 19/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 19/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 19/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 19/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 19/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 19/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 19/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 19/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 19/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 19/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 19/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 19/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [20:00:00 19/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 19/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 19/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 19/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 19/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 19/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [20:00:00 19/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [20:00:00 19/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 19/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [20:00:00 19/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 19/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 19/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 19/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 19/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 19/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 19/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 19/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 19/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 19/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [20:00:00 19/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [20:00:00 19/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 19/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 19/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [20:00:00 19/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 19/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 19/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 19/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 19/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [20:00:00 19/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 59.6667 u1: mmHg st: NotStopd t0: [20:00:00 19/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 19/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 19/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 19/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 19/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 19/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 19/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 19/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 19/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 19/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 19/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [20:00:00 19/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 19/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 19/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 19/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 19/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 19/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [20:00:00 19/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 19/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 19/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 19/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 19/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 19/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [20:00:00 19/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [20:00:00 19/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [20:00:00 19/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 19/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 19/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 19/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 19/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 19/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 19/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 19/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 19/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 19/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 19/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 19/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 19/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 19/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 19/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 0 vu: ml t0: [20:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 19/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 19/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 12 vu: ml t0: [20:00:00 19/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [20:00:00 19/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [20:00:00 19/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [20:00:00 19/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [20:00:00 19/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 19/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 19/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 19/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 19/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 19/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 19/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [21:00:00 19/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 19/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [21:00:00 19/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [21:00:00 19/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 19/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [21:00:00 19/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [21:00:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 19/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 19/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 12 vu: ml t0: [21:00:00 19/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [21:00:00 19/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [21:00:00 19/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
io: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ra: 10 ru: ml/hr
id: D5W el: 3 cu: MICU cg: RN io: D5W 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Infusion
t0: [22:00:00 19/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 19/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 19/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 19/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 19/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 19/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [22:00:00 19/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 19/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [22:00:00 19/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [22:00:00 19/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 19/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [22:00:00 19/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [22:00:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 19/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 19/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 25 vu: ml t0: [22:00:00 19/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 19/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 12 vu: ml t0: [22:00:00 19/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [22:00:00 19/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [22:00:00 19/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 19/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 915 ap: none
t0: [23:00:00 19/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 19/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 19/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 19/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 19/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 19/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [23:00:00 19/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 19/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [23:00:00 19/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 54.6667 u1: mmHg st: NotStopd t0: [23:00:00 19/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 19/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [23:00:00 19/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [23:00:00 19/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 19/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 19/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 101 rs: Manual st: NotStopd
t0: [23:00:00 19/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 19/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 19/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 12 vu: ml t0: [23:00:00 19/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [23:00:00 19/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [23:00:00 19/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 19/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 19/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 17 cv: 17 ap: none t0: [23:00:00 19/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 32 cv: 1048 ap: none t0: [23:00:00 19/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 117 cv: 3238 ap: none t0: [23:00:00 19/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 85 cv: 1275 ap: none t0: [23:00:00 19/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 100 cv: 1485 ap: none t0: [23:00:00 19/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 17 cv: 1753 ap: carryForward t0: [23:00:00 19/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 100 cv: 1485 ap: carryForward t0: [23:00:00 19/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 17 cv: 10333.7 ap: carryForward
t0: [00:00:00 20/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: CRT v1: 8 v2: 22 st: NotStopd t0: [00:00:00 20/10/2016] id: Cuff Leak el: 0 cu: MICU cg: CRT v1: No st: NotStopd t0: [00:00:00 20/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 25 t0: [00:00:00 20/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 20/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 20/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 45 u1: BPM st: NotStopd t0: [00:00:00 20/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.0 mm st: NotStopd t0: [00:00:00 20/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Tracheostomy st: NotStopd t0: [00:00:00 20/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 35 u1: Deg. C st: NotStopd t0: [00:00:00 20/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [00:00:00 20/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 20/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 9 u1: cmH2O st: NotStopd t0: [00:00:00 20/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 11.4 u1: L/min st: NotStopd t0: [00:00:00 20/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 20/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 25 st: NotStopd t0: [00:00:00 20/10/2016] id: Pressure Support el: 0 cu: MICU cg: CRT v1: 10 u1: . st: NotStopd t0: [00:00:00 20/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 29 u1: BPM st: NotStopd t0: [00:00:00 20/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: CRT v1: 100 u1: % st: NotStopd t0: [00:00:00 20/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: CRT v1: 427 u1: ml/B st: NotStopd t0: [00:00:00 20/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: CRT v1: Yes v2: No st: NotStopd t0: [00:00:00 20/10/2016] id: Trach Size el: 0 cu: MICU cg: CRT v1: #7 st: NotStopd t0: [00:00:00 20/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: CRT v1: Inflated st: NotStopd t0: [00:00:00 20/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: CRT v1: Shiley st: NotStopd t0: [00:00:00 20/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CPAP+PS st: NotStopd t0: [00:00:00 20/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: 7200A st: NotStopd
t0: [00:00:00 20/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 20/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 20/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 20/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 20/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 20/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 20/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 20/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 20/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 20/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 20/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 20/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 20/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 20/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 20/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [00:00:00 20/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [00:00:00 20/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [00:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 20/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 20/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 20/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 20/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 20/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 20/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 20/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 20/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 20/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 20/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 20/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 20/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 20/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 20/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [00:00:00 20/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 20/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 20/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [00:00:00 20/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 20/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 20/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 20/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [00:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [00:00:00 20/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 20/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 20/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 20/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 20/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 20/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 20/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 20/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [00:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 20/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 20/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [00:00:00 20/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 20/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 20/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 20/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 20/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [00:00:00 20/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 20/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 20/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 20/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 20/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 20/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 20/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 20/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [00:00:00 20/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [00:00:00 20/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [00:00:00 20/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 20/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 20/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 20/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 20/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 20/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 20/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 90 rs: Manual st: NotStopd t0: [00:00:00 20/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 20/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [00:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 12 vu: ml t0: [00:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [00:00:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 90 vu: ml
t0: [00:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:05:00 20/10/2016] id: Vancomycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 20.2 rs: Final st: NotStopd
t0: [01:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [01:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [01:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 20/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [01:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [01:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 11 vu: ml t0: [01:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [01:00:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [01:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [02:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [02:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 58.3333 u1: mmHg st: NotStopd t0: [02:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 20/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [02:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [02:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 20/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 90 rs: Manual st: NotStopd
t0: [02:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 11 vu: ml t0: [02:00:00 20/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [02:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [02:00:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [02:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 20/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 1475 ap: none
t0: [03:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [03:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [03:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [03:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 11 vu: ml t0: [03:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [03:00:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [03:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 20/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 110 cv: 110 ap: none t0: [23:00:00 20/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 0 cv: 0 ap: none t0: [23:00:00 20/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 25 cv: 1325 ap: none t0: [23:00:00 20/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 110 cv: 4840 ap: none t0: [23:00:00 20/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 85 cv: 2040 ap: none t0: [23:00:00 20/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 110 cv: 2400 ap: none t0: [23:00:00 20/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 0 cv: 2440 ap: carryForward t0: [23:00:00 20/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 110 cv: 2400 ap: carryForward t0: [23:00:00 20/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 0 cv: 12773.7 ap: carryForward
t0: [04:00:00 20/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 20/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 20/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 20/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 20/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 20/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 20/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 20/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 20/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [04:00:00 20/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 20/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 20/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 6 u1: points st: NotStopd t0: [04:00:00 20/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 20/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 20/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 20/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [04:00:00 20/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [04:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [04:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 20/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 20/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 20/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 20/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 20/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 20/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 20/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 20/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 20/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 20/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 20/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 20/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [04:00:00 20/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 20/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 20/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [04:00:00 20/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 20/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 20/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 20/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 83 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [04:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 57.6667 u1: mmHg st: NotStopd t0: [04:00:00 20/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 20/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 20/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 20/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 20/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 20/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [04:00:00 20/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 20/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 20/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 20/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 20/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 20/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 20/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 20/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 20/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 20/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 20/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [04:00:00 20/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [04:00:00 20/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 20/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 20/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 20/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 20/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 85 rs: Manual st: NotStopd t0: [04:00:00 20/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [04:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 11 vu: ml t0: [04:00:00 20/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [04:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [04:00:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [04:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 9 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 20/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: CRT v1: 8 v2: 22 st: NotStopd t0: [04:00:00 20/10/2016] id: Cuff Leak el: 0 cu: MICU cg: CRT v1: No st: NotStopd t0: [04:00:00 20/10/2016] id: High MV Alarm el: 0 cu: MICU cg: CRT v1: 25 t0: [04:00:00 20/10/2016] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 20/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 20/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 45 u1: BPM st: NotStopd t0: [04:00:00 20/10/2016] id: Airway Size el: 0 cu: MICU cg: CRT v1: 7.0 mm st: NotStopd t0: [04:00:00 20/10/2016] id: Airway Type el: 0 cu: MICU cg: CRT v1: Tracheostomy st: NotStopd t0: [04:00:00 20/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 35 u1: Deg. C st: NotStopd t0: [04:00:00 20/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 5 st: NotStopd t0: [04:00:00 20/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 20/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 20/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 12.5 u1: L/min st: NotStopd t0: [04:00:00 20/10/2016] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 20/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 25 st: NotStopd t0: [04:00:00 20/10/2016] id: Pressure Support el: 0 cu: MICU cg: CRT v1: 10 u1: . st: NotStopd t0: [04:00:00 20/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 26 u1: BPM st: NotStopd t0: [04:00:00 20/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 20/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: CRT v1: 434 u1: ml/B st: NotStopd t0: [04:00:00 20/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: CRT v1: Yes v2: No st: NotStopd t0: [04:00:00 20/10/2016] id: Trach Size el: 0 cu: MICU cg: CRT v1: #7 st: NotStopd t0: [04:00:00 20/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: CRT v1: Inflated st: NotStopd t0: [04:00:00 20/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: CRT v1: Shiley st: NotStopd t0: [04:00:00 20/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: CPAP+PS st: NotStopd t0: [04:00:00 20/10/2016] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: 7200A st: NotStopd
t0: [03:50:00 20/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.6 rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 10.6 rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 28.6 u1: % rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.6 u1: gm/dl rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 235 rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.38 u1: /mic l rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.6 rs: Final st: NotStopd
t0: [04:00:00 20/10/2016] id: RSBI (<100) el: 0 cu: MICU cg: CRT v1: 70.2128 u1: units st: NotStopd t0: [04:00:00 20/10/2016] id: RSBI (<200) el: 0 cu: MICU cg: CRT v1: 70.2128 u1: units st: NotStopd t0: [04:00:00 20/10/2016] id: Spon RR (Mech.) el: 0 cu: MICU cg: CRT v1: 33 u1: BPM st: NotStopd t0: [04:00:00 20/10/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: CRT v1: 0.47 u1: L st: NotStopd
t0: [03:50:00 20/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 63 rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 83 rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 63 rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 83 rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [03:50:00 20/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [05:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 20/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 20/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [05:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 20/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 20/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [05:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [05:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 20/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 20/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 20/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [05:00:00 20/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [05:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 20/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 20/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [05:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 20/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 20/10/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [05:00:00 20/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [05:00:00 20/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [05:00:00 20/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 20/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 20/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done
t0: [05:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 9 vu: ml t0: [05:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [05:00:00 20/10/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large t0: [05:00:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [05:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 9 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 19/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 19/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 19/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 19/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 19/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/10/2016] id: Procedures el: 0 cu: MICU cg: RN v1: Line Cultured st: NotStopd t0: [21:00:00 19/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN st: NotStopd t0: [21:00:00 19/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN st: NotStopd t0: [21:00:00 19/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN st: NotStopd t0: [21:00:00 19/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN st: NotStopd t0: [21:00:00 19/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN st: NotStopd t0: [06:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [06:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [06:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [06:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 20/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [06:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 20/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 85 rs: Manual st: NotStopd
t0: [06:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 9 vu: ml t0: [06:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [06:00:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [06:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [07:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [07:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 52.3333 u1: mmHg st: NotStopd t0: [07:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 20/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [07:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [07:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [07:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [07:00:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [07:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:30:00 20/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [07:30:00 20/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [07:30:00 20/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [07:30:00 20/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [07:30:00 20/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [07:30:00 20/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [07:30:00 20/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [07:30:00 20/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [07:30:00 20/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [07:30:00 20/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [07:30:00 20/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [07:30:00 20/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.4 u1: L/min st: NotStopd t0: [07:30:00 20/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:30:00 20/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 25 st: NotStopd t0: [07:30:00 20/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [07:30:00 20/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [07:30:00 20/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:30:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [07:30:00 20/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [07:30:00 20/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [07:30:00 20/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [07:30:00 20/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [07:30:00 20/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [07:30:00 20/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [07:30:00 20/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [07:30:00 20/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [07:30:00 20/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 20/10/2016] id: Arterial BP el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 20/10/2016] id: Arterial BP Mean el: 0 cu: MICU cg: -1 st: D/C'd
t0: [08:00:00 20/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 20/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 20/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 20/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:00:00 20/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 20/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 20/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 20/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 20/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 20/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [08:00:00 20/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 20/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [08:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 20/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 20/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 20/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 20/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 20/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 20/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 20/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 20/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 20/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 20/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 20/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 20/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [08:00:00 20/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 20/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 20/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [08:00:00 20/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 20/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 20/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 20/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [08:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 60.6667 u1: mmHg st: NotStopd t0: [08:00:00 20/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 20/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 20/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 20/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 20/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 20/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 20/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 145 u1: kg st: NotStopd t0: [08:00:00 20/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 20/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [08:00:00 20/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 20/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 20/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 20/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 20/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 20/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 20/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 20/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 20/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 20/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 20/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [08:00:00 20/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [08:00:00 20/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [08:00:00 20/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 20/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 20/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 20/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 20/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 20/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 20/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 20/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 20/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 20/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 20/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 20/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 20/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 125 vu: ml t0: [08:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [08:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [08:00:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [08:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:30:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:30:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:30:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:30:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:30:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [08:30:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:30:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [08:30:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [08:30:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:30:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:30:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [08:30:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:30:00 20/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 83 rs: Manual st: NotStopd
t0: [08:30:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [08:30:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [08:30:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 3.5 vu: ml t0: [08:30:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 42.5 vu: ml
t0: [08:30:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:30:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:30:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 20/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:30:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:30:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:30:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:30:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [09:30:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:30:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [09:30:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 59.6667 u1: mmHg st: NotStopd t0: [09:30:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:30:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:30:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:30:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:30:00 20/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 92 rs: Manual st: NotStopd
t0: [09:30:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:30:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:30:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 20/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:30:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:30:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:30:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [10:30:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:30:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:30:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [10:30:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:30:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:30:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:30:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:30:00 20/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 132 rs: Manual st: NotStopd
t0: [10:30:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [10:30:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [10:30:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [10:30:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [10:30:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [10:30:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 20/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [11:00:00 20/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [11:00:00 20/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [11:00:00 20/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 20/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:00:00 20/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [11:00:00 20/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [11:00:00 20/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [11:00:00 20/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [11:00:00 20/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [11:00:00 20/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [11:00:00 20/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 13.2 u1: L/min st: NotStopd t0: [11:00:00 20/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 20/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 25 st: NotStopd t0: [11:00:00 20/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [11:00:00 20/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [11:00:00 20/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [11:00:00 20/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [11:00:00 20/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [11:00:00 20/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [11:00:00 20/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [11:00:00 20/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [11:00:00 20/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:00:00 20/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
tf: [09:00:00 23/10/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 12, 0 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [11:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [11:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [11:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62.3333 u1: mmHg st: NotStopd t0: [11:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 20/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 20/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 20/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [12:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 20/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 20/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 20/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 20/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [12:00:00 20/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 20/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [12:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [12:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [12:00:00 20/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 20/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 20/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [12:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 20/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 20/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 20/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 20/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 20/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 20/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [12:00:00 20/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [12:00:00 20/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [12:00:00 20/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 20/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 20/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 111 rs: Manual st: NotStopd
t0: [12:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 15 vu: ml t0: [12:00:00 20/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [12:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 15 vu: ml t0: [12:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 7.5 vu: ml t0: [12:00:00 20/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 300 vu: ml t0: [12:00:00 20/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [12:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 127.5 vu: ml t0: [12:00:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [11:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [12:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [12:00:00 21/10/2016] pt: Unit Dose rt: NG fr: ONCE fs: 13 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen v1: 325-650 u1: mg tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PR fr: Q4-6H:PRN m1: Acetaminophen (Rectal) v1: 325-650 u1: mg
t0: [13:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [13:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [13:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [13:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 20/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [14:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [14:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [14:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [14:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 20/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 75 vu: ml t0: [14:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 8 vu: ml t0: [14:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [14:00:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [13:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [14:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 20/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 120 rs: Manual st: NotStopd t0: [14:00:00 20/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 113 rs: Manual st: NotStopd
t0: [14:45:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:45:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:45:00 20/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:45:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:45:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:45:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:45:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [14:45:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:45:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [14:45:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [14:45:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:45:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:45:00 20/10/2016] id: Significant Events el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [14:45:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:45:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:45:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:15:00 20/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 113 rs: Manual st: NotStopd t0: [15:30:00 20/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [15:30:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:30:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 20/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:30:00 20/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [15:30:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:30:00 20/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [15:30:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:30:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:30:00 20/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [15:30:00 20/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [15:30:00 20/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [15:30:00 20/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [15:30:00 20/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [15:30:00 20/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [15:30:00 20/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [15:30:00 20/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [15:30:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [15:30:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:30:00 20/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [15:30:00 20/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [15:30:00 20/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [15:30:00 20/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:30:00 20/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [15:30:00 20/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [15:30:00 20/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [15:30:00 20/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [15:30:00 20/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [15:30:00 20/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [15:30:00 20/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [15:30:00 20/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [15:30:00 20/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [15:30:00 20/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [15:30:00 20/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [15:30:00 20/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [15:30:00 20/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:30:00 20/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [15:30:00 20/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [15:30:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [15:30:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [15:30:00 20/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:30:00 20/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [15:30:00 20/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [15:30:00 20/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:30:00 20/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [15:30:00 20/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [15:30:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:30:00 20/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [15:30:00 20/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [15:30:00 20/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [15:30:00 20/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [15:30:00 20/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:30:00 20/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [15:30:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:30:00 20/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:30:00 20/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:30:00 20/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [15:30:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [15:30:00 20/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [15:30:00 20/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:30:00 20/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [15:30:00 20/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [15:30:00 20/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [15:30:00 20/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [15:30:00 20/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [15:30:00 20/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:30:00 20/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:30:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 20/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [15:30:00 20/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [15:30:00 20/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [15:30:00 20/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [15:30:00 20/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [15:30:00 20/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [15:30:00 20/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [15:30:00 20/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [15:30:00 20/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [15:30:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 15 vu: ml t0: [15:30:00 20/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 100 vu: ml t0: [15:30:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 15 vu: ml t0: [15:30:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 6 vu: ml t0: [15:30:00 20/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [15:30:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 127.5 vu: ml t0: [15:30:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [15:30:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 20/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [16:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [16:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 2 vu: ml t0: [16:00:00 20/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 200 vu: ml t0: [16:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 42.5 vu: ml
t0: [16:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:00:00 20/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RRT u1: kg st: NotStopd t0: [15:00:00 20/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:00:00 20/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Trach Mask st: NotStopd t0: [15:00:00 20/10/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 10 u1: lpm st: NotStopd
t0: [16:30:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:30:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:30:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:30:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:30:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [16:30:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:30:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:30:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [16:30:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:30:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [16:30:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:30:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:30:00 20/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 133 rs: Manual st: NotStopd t0: [17:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [17:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [17:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml t0: [17:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [17:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml
t0: [16:30:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip t0: [17:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 20/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 20/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [18:00:00 20/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [18:00:00 20/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [18:00:00 20/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [18:00:00 20/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [18:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 20/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 20/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [18:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [18:00:00 20/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 20/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [18:00:00 20/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [18:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 20/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 20/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 20/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 20/10/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [18:00:00 20/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [18:00:00 20/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [18:00:00 20/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 20/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 20/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 20/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 103 rs: Manual st: NotStopd
t0: [18:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 5 vu: ml t0: [18:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [18:00:00 20/10/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large t0: [18:00:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [18:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 20/10/2016] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward
tf: [18:00:00 21/10/2016] pt: Unit Dose rt: IH fr: ONCE fs: 19 dn: 1 m1: Lidocaine 1% v1: 1.25 u1: ml
t0: [19:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [19:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 99 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [19:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [19:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [19:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [19:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml
t0: [19:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 20/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 20/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 20/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 20/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Trach Mask st: NotStopd t0: [20:00:00 20/10/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 10 u1: lpm st: NotStopd t0: [20:00:00 20/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 20/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [20:00:00 20/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 20/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 20/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 20/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 20/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 20/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 20/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 20/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 20/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [20:00:00 20/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 20/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 20/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 12 u1: points st: NotStopd t0: [20:00:00 20/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 20/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 20/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [20:00:00 20/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [20:00:00 20/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [20:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 20/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 20/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 20/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 20/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 20/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 20/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 20/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 20/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 20/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 20/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 20/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 20/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [20:00:00 20/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [20:00:00 20/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 20/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 20/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [20:00:00 20/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 20/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 20/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 20/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 20/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [20:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [20:00:00 20/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 20/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 20/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 20/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 20/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 20/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 20/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 20/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 20/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 20/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [20:00:00 20/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 20/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 20/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 20/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [20:00:00 20/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 20/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 20/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 20/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 20/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 20/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 20/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 20/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [20:00:00 20/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [20:00:00 20/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [20:00:00 20/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 20/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 20/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 20/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 119 rs: Manual st: NotStopd t0: [20:00:00 20/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 20/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 20/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 20/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 20/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [20:00:00 20/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 20/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 20/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 20/10/2016] tf: [15:58:00 24/10/2016] dt: 5518 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 5 vu: ml t0: [20:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 3 vu: ml t0: [20:00:00 20/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [20:00:00 20/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [20:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [20:00:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [20:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:30:00 20/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 28.7 u1: % rs: Final st: NotStopd
t0: [21:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [21:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [21:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [21:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [21:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [21:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [21:00:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [21:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:30:00 20/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [21:30:00 20/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: Positional st: NotStopd t0: [21:30:00 20/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 20 t0: [21:30:00 20/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:30:00 20/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [21:30:00 20/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [21:30:00 20/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [21:30:00 20/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [21:30:00 20/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [21:30:00 20/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [21:30:00 20/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [21:30:00 20/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.7 u1: L/min st: NotStopd t0: [21:30:00 20/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:30:00 20/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [21:30:00 20/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [21:30:00 20/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [21:30:00 20/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:30:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [21:30:00 20/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 425 u1: ml/B st: NotStopd t0: [21:30:00 20/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [21:30:00 20/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [21:30:00 20/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [21:30:00 20/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [21:30:00 20/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [21:30:00 20/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [22:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [22:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [22:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [22:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [22:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 20/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [22:00:00 20/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 20/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 127 rs: Manual st: NotStopd
t0: [22:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 20/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 35 vu: ml t0: [22:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 4 vu: ml t0: [22:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [22:00:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [22:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 20/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [23:00:00 20/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [23:00:00 20/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [23:00:00 20/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [23:00:00 20/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [23:00:00 20/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [23:00:00 20/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [23:00:00 20/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [23:00:00 20/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [23:00:00 20/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [23:00:00 20/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [23:00:00 20/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [23:00:00 20/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [23:00:00 20/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [23:00:00 20/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [23:00:00 20/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [23:00:00 20/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [23:00:00 20/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [23:00:00 20/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 465 u1: ml/B st: NotStopd t0: [23:00:00 20/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [23:00:00 20/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [23:00:00 20/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [23:00:00 20/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [23:00:00 20/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [23:00:00 20/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [23:00:00 20/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 20/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 20/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 20/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 20/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 20/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [23:00:00 20/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 20/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 20/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68.6667 u1: mmHg st: NotStopd t0: [23:00:00 20/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 20/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 20/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 20/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 20/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 20/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 5 vu: ml t0: [23:00:00 20/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [23:00:00 20/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [23:00:00 20/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [09:00:00 23/10/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 12 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [20:00:00 20/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 20/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 2 Incomp sounds st: NotStopd t0: [00:00:00 21/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 21/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 21/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 21/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 21/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 21/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 21/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 21/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 21/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 21/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 21/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 21/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 21/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 21/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 21/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 21/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [00:00:00 21/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [00:00:00 21/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [00:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 21/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 21/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 21/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 21/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 21/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 21/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 21/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 21/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 21/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 21/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 21/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 21/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 21/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [00:00:00 21/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 21/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 21/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [00:00:00 21/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 21/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 21/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 21/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 21/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 21/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [00:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [00:00:00 21/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 21/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 21/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 21/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 21/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 21/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 21/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [00:00:00 21/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 21/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 21/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 21/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [00:00:00 21/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 21/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 21/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 21/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 21/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 21/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 21/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 21/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 21/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 21/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 21/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 21/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 21/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [00:00:00 21/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [00:00:00 21/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: Airbed/Kinair st: NotStopd t0: [00:00:00 21/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [00:00:00 21/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 21/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 21/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 21/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 21/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 115 rs: Manual st: NotStopd t0: [00:00:00 21/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 21/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 21/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 21/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 5 vu: ml t0: [00:00:00 21/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [00:00:00 21/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [00:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [01:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 96 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 59.3333 u1: mmHg st: NotStopd t0: [01:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [01:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [02:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [02:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 21/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 113 rs: Manual st: NotStopd
t0: [02:00:00 21/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 21/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 21/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 10 vu: ml t0: [02:00:00 21/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [02:00:00 21/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [02:00:00 21/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [01:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 21/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 110 cv: 110 ap: none t0: [23:00:00 21/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -5 cv: -5 ap: none t0: [23:00:00 21/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 20 cv: 810.5 ap: none t0: [23:00:00 21/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 105 cv: 3705.5 ap: none t0: [23:00:00 21/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 855 ap: none t0: [23:00:00 21/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 85 cv: 2040 ap: none t0: [23:00:00 21/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 110 cv: 2510 ap: none t0: [23:00:00 21/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -5 cv: 1195.5 ap: carryForward t0: [23:00:00 21/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 110 cv: 2510 ap: carryForward t0: [23:00:00 21/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -5 cv: 13969.2 ap: carryForward
t0: [02:30:00 21/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [02:30:00 21/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [02:30:00 21/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [02:30:00 21/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [02:30:00 21/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [02:30:00 21/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [02:30:00 21/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [02:30:00 21/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [02:30:00 21/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [02:30:00 21/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [02:30:00 21/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [02:30:00 21/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [02:30:00 21/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 12.3 u1: L/min st: NotStopd t0: [02:30:00 21/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [02:30:00 21/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [02:30:00 21/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [02:30:00 21/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [02:30:00 21/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [02:30:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [02:30:00 21/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 545 u1: ml/B st: NotStopd t0: [02:30:00 21/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [02:30:00 21/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [02:30:00 21/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [02:30:00 21/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [02:30:00 21/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [02:30:00 21/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [03:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [03:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [03:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62.3333 u1: mmHg st: NotStopd t0: [03:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [03:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 21/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 21/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 21/10/2016] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 21/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 21/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 21/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 21/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 21/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 21/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [04:00:00 21/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 21/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 21/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 21/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 21/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 21/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [04:00:00 21/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [04:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [04:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 21/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 21/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 21/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 21/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 21/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 21/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 21/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 21/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 21/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 21/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 21/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 21/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [04:00:00 21/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 21/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 21/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [04:00:00 21/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 21/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 21/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 21/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 21/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 21/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [04:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [04:00:00 21/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 21/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 21/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 21/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 21/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 21/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 21/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 21/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 21/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 21/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 21/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 21/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:00:00 21/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 21/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 21/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 21/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 21/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 21/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 21/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 21/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [04:00:00 21/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [04:00:00 21/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 21/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 21/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 21/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 21/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 96 rs: Manual st: NotStopd t0: [04:00:00 21/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [02:00:00 21/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [04:00:00 21/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 21/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 21/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 10 vu: ml t0: [04:00:00 21/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [04:00:00 21/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [04:00:00 21/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [03:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [04:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:45:00 21/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.7 rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 9.7 rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 29.4 u1: % rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.9 u1: gm/dl rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 247 rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.42 u1: /mic l rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9.7 rs: Final st: NotStopd
t0: [03:45:00 21/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 47 rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 105 rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 91 rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 47 rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 105 rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 91 rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [03:45:00 21/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [05:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 21/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 21/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [05:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [05:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 21/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 21/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [05:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [05:00:00 21/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 21/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 21/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [05:00:00 21/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [05:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 21/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [05:00:00 21/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 21/10/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [05:00:00 21/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [05:00:00 21/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 21/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 21/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [05:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 21/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: Done
t0: [05:00:00 21/10/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Medium
t0: [05:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 21/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [05:00:00 21/10/2016] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 96.6667 u1: units st: NotStopd t0: [05:00:00 21/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [05:00:00 21/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [05:00:00 21/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:00:00 21/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:00:00 21/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [05:00:00 21/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [05:00:00 21/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:00:00 21/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:00:00 21/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [05:00:00 21/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [05:00:00 21/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.5 u1: L/min st: NotStopd t0: [05:00:00 21/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 21/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 21/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [05:00:00 21/10/2016] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 96.6667 u1: units st: NotStopd t0: [05:00:00 21/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [05:00:00 21/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 21/10/2016] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [05:00:00 21/10/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.3 u1: L st: NotStopd t0: [05:00:00 21/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 463 u1: ml/B st: NotStopd t0: [05:00:00 21/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:00:00 21/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [05:00:00 21/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [05:00:00 21/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [05:00:00 21/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 21/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [06:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [06:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [06:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [06:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 21/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 116 rs: Manual st: NotStopd
t0: [06:00:00 21/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 21/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 21/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 8 vu: ml t0: [06:00:00 21/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [06:00:00 21/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [06:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:35:00 21/10/2016] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 8 v2: 22 st: NotStopd t0: [07:35:00 21/10/2016] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [07:35:00 21/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [07:35:00 21/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [07:35:00 21/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [07:35:00 21/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [07:35:00 21/10/2016] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.0 mm st: NotStopd t0: [07:35:00 21/10/2016] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [07:35:00 21/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [07:35:00 21/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [07:35:00 21/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 2 v2: Combivent st: NotStopd t0: [07:35:00 21/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [07:35:00 21/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [07:35:00 21/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:35:00 21/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [07:35:00 21/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [07:35:00 21/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [07:35:00 21/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:35:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [07:35:00 21/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [07:35:00 21/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [07:35:00 21/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [07:35:00 21/10/2016] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [07:35:00 21/10/2016] id: Trach Size el: 0 cu: MICU cg: RRT v1: #7 st: NotStopd t0: [07:35:00 21/10/2016] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [07:35:00 21/10/2016] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [07:35:00 21/10/2016] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [07:35:00 21/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 21/10/2016] id: CoolingDevice/Status el: 0 cu: MICU cg: -1 st: D/C'd
t0: [08:00:00 21/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 21/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 21/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 21/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:00:00 21/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 21/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 21/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 21/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 21/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 21/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [08:00:00 21/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 21/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [08:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 21/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 21/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 21/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 21/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 21/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 21/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 21/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 21/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 21/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 21/10/2016] id: ImpSkin Treatment #3 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 21/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 21/10/2016] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [08:00:00 21/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 21/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 21/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [08:00:00 21/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 21/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 21/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 21/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 21/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 21/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [08:00:00 21/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 21/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 21/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 21/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 21/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 21/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 21/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 21/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 21/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 21/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 21/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 21/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 21/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 21/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 21/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 21/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 21/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 21/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 21/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 21/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 21/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [08:00:00 21/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [08:00:00 21/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 21/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:00:00 21/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 21/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 21/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 21/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 21/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 132 rs: Manual st: NotStopd t0: [08:00:00 21/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 21/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 21/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [08:00:00 21/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 21/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [08:00:00 21/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 21/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 21/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 21/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 21/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 21/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 8 vu: ml t0: [08:00:00 21/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [08:00:00 21/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [08:00:00 21/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [08:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [09:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [09:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 21/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 124 rs: Manual st: NotStopd
t0: [09:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 21/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 21/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 21/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 5 vu: ml t0: [09:00:00 21/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [09:00:00 21/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [10:30:00 21/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [10:30:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:30:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 21/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:30:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:30:00 21/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [10:30:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:30:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:30:00 21/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [10:30:00 21/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [10:30:00 21/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [10:30:00 21/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [10:30:00 21/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [10:30:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [10:30:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:30:00 21/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [10:30:00 21/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [10:30:00 21/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [10:30:00 21/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [10:30:00 21/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [10:30:00 21/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [10:30:00 21/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [10:30:00 21/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [10:30:00 21/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [10:30:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:30:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [10:30:00 21/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:30:00 21/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [10:30:00 21/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [10:30:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:30:00 21/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:30:00 21/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [10:30:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:30:00 21/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:30:00 21/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:30:00 21/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:30:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:30:00 21/10/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [10:30:00 21/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [10:30:00 21/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [10:30:00 21/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:30:00 21/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [10:30:00 21/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:30:00 21/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:30:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:30:00 21/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 139 rs: Manual st: NotStopd
t0: [10:30:00 21/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 15 vu: ml t0: [10:30:00 21/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 75 vu: ml t0: [10:30:00 21/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 15 vu: ml t0: [10:30:00 21/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 7.5 vu: ml t0: [10:30:00 21/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 127.5 vu: ml t0: [10:30:00 21/10/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large t0: [10:30:00 21/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [10:30:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 21/10/2016] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward
t0: [11:00:00 21/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 21/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Trach Mask st: NotStopd t0: [11:00:00 21/10/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 10 u1: lpm st: NotStopd
t0: [12:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 21/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [12:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 21/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 21/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 21/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [12:00:00 21/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [12:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [12:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [12:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [12:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 21/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [12:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 21/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 21/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [12:00:00 21/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [12:00:00 21/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 21/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 120 rs: Manual st: NotStopd
t0: [12:00:00 21/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 15 vu: ml t0: [12:00:00 21/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 15 vu: ml t0: [12:00:00 21/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 9 vu: ml t0: [12:00:00 21/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 127.5 vu: ml t0: [12:00:00 21/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
t0: [12:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [13:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [13:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [13:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 21/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 115 rs: Manual st: NotStopd
t0: [13:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 21/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [14:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 21/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 21/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [14:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [14:00:00 21/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 21/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [14:00:00 21/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 21/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 21/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 21/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 21/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 21/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 21/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 12 vu: ml t0: [14:00:00 21/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [14:00:00 21/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [14:00:00 21/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [14:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [20:00:00 24/10/2016] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Lidocaine 1% v1: 1.25 u1: ml
t0: [16:00:00 21/10/2016] id: GI Guaiac/ph el: 0 cu: MICU cg: -1 st: D/C'd t0: [16:00:00 21/10/2016] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 st: D/C'd
tf: [13:00:00 22/10/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Humulin-R Insulin v1: 100 u1: UNIT m2: NS v2: 100 u2: ml
t0: [14:00:00 21/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 140 rs: Manual st: NotStopd t0: [15:00:00 21/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 21/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Copious st: NotStopd t0: [15:00:00 21/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 130 rs: Manual st: NotStopd t0: [16:00:00 21/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [16:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 21/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 21/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 21/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [16:00:00 21/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 21/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Fam Talked to MD st: NotStopd t0: [16:00:00 21/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 21/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 21/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 21/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 21/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [16:00:00 21/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [16:00:00 21/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [16:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 21/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [16:00:00 21/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 21/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 21/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [16:00:00 21/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 21/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 21/10/2016] id: Imp Skin Cleanse #2 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 21/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 21/10/2016] id: ImpSkin Character #2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 21/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 21/10/2016] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [16:00:00 21/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 21/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 21/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [16:00:00 21/10/2016] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [16:00:00 21/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 21/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 21/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [16:00:00 21/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 21/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 21/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 21/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 21/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 21/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [16:00:00 21/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 21/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 21/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 21/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 21/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 21/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 21/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 21/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 21/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 21/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 21/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 21/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 21/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 21/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 21/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 21/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 21/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 21/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 21/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 21/10/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [16:00:00 21/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 21/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 21/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [16:00:00 21/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [16:00:00 21/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 21/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 21/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 21/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 21/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 21/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 21/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Anxious st: NotStopd t0: [16:00:00 21/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 120 rs: Manual st: NotStopd t0: [16:00:00 21/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [16:00:00 21/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 21/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [16:00:00 21/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 21/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [16:00:00 21/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 21/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 21/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 21/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 21/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 21/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 14 vu: ml t0: [16:00:00 21/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [16:00:00 21/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [16:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 21/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:00:00 21/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Trach Mask st: NotStopd t0: [15:00:00 21/10/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 10 u1: lpm st: NotStopd
t0: [17:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [17:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [17:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [17:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 21/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 21/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [18:00:00 21/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [18:00:00 21/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [18:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [18:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 21/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [18:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 85.6667 u1: mmHg st: NotStopd t0: [18:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 21/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 21/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [18:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 21/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [18:00:00 21/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Copious st: NotStopd t0: [18:00:00 21/10/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [18:00:00 21/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [18:00:00 21/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 21/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 21/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 21/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 121 rs: Manual st: NotStopd
t0: [18:00:00 21/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 21/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 21/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 14 vu: ml t0: [18:00:00 21/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [18:00:00 21/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [17:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip t0: [18:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [19:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [19:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62.6667 u1: mmHg st: NotStopd t0: [19:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [20:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [20:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [20:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [20:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 21/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 21/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [20:00:00 21/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [20:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 21/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [21:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 124 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [21:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 21/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 21/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 21/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [19:00:00 21/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [20:00:00 21/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 21/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 21/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [20:00:00 21/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [20:00:00 21/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [20:00:00 21/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [21:00:00 21/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 21/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 21/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [21:00:00 21/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [21:00:00 21/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [19:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip t0: [20:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip t0: [21:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 21/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 152 rs: Manual st: NotStopd
tf: [12:00:00 22/10/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 25 u1: mg tf: [20:00:00 24/10/2016] pt: Unit Dose rt: SC fr: QHS fs: 22 dn: 1 m1: Insulin Glargine v1: 60 u1: UNIT
t0: [23:00:00 21/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: -1 ai: 209 vo: 0 st: D/C'd
t0: [22:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 21/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [22:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [22:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [22:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 21/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 21/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 21/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 21/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 21/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 21/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 21/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [23:00:00 21/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 21/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 21/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [23:00:00 21/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 21/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [23:00:00 21/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 21/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 21/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 21/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 21/10/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 2 cu: MICU cg: RN ai: 209 vo: 7 vu: ml t0: [22:00:00 21/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [22:00:00 21/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml t0: [23:00:00 21/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 21/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 21/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [23:00:00 21/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [22:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:00:00 21/10/2016] id: Insulin el: 2 cu: MICU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 22/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 168 rs: Manual st: NotStopd
t0: [00:00:00 22/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [00:00:00 22/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 22/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 22/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [00:00:00 22/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 22/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 22/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 22/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 22/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [00:00:00 22/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 22/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 22/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:00:00 22/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [00:00:00 22/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:00:00 22/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 22/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [00:00:00 22/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [00:00:00 22/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 22/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [00:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [00:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [00:00:00 22/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 22/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [00:00:00 22/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [00:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 22/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [01:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [01:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [01:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [01:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [00:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [01:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [01:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [23:00:00 22/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 130 cv: 130 ap: none t0: [23:00:00 22/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -25 cv: -25 ap: none t0: [23:00:00 22/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 20 cv: 1280 ap: none t0: [23:00:00 22/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 105 cv: 4200 ap: none t0: [23:00:00 22/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 85 cv: 2040 ap: none t0: [23:00:00 22/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 130 cv: 3170 ap: none t0: [23:00:00 22/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -25 cv: 1030 ap: none t0: [23:00:00 22/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 130 cv: 3170 ap: none t0: [23:00:00 22/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -25 cv: 14999.2 ap: carryForward
t0: [20:00:00 21/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 21/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 21/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 21/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [20:00:00 21/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 21/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Called st: NotStopd t0: [20:00:00 21/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 21/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 21/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 21/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 21/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [20:00:00 21/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [20:00:00 21/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 21/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 21/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 21/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 21/10/2016] id: Imp Skin Cleanse #2 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 21/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 21/10/2016] id: ImpSkin Character #2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 21/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 21/10/2016] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [20:00:00 21/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 21/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 21/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [20:00:00 21/10/2016] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [20:00:00 21/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 21/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 21/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [20:00:00 21/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 21/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 21/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 21/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 21/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 21/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 21/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 21/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 21/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 21/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 21/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 21/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 21/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 21/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 21/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 21/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 21/10/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [20:00:00 21/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [20:00:00 21/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 21/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 21/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 21/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [20:00:00 21/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [20:00:00 21/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 21/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [20:00:00 21/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 21/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [20:00:00 21/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 21/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 21/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [21:00:00 21/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 21/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 21/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 21/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 21/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 21/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 21/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 21/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [21:00:00 21/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 21/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 21/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 21/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 22/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 22/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 22/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 22/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 22/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 22/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 22/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 22/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 22/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [00:00:00 22/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [00:00:00 22/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 22/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 22/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 22/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 22/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 22/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 22/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 22/10/2016] id: Imp Skin Cleanse #2 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 22/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 22/10/2016] id: ImpSkin Character #2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 22/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 22/10/2016] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [00:00:00 22/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 22/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 22/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 22/10/2016] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [00:00:00 22/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 22/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 22/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [00:00:00 22/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 22/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 22/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 22/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 22/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 22/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 22/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 22/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 22/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 22/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 22/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 22/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 22/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 22/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 22/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 22/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 22/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 22/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 22/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 22/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 22/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 22/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 22/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 22/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 22/10/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [00:00:00 22/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [00:00:00 22/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 22/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 22/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 22/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 22/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 22/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Anxious st: NotStopd t0: [00:00:00 22/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [00:00:00 22/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 22/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [00:00:00 22/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 22/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [00:00:00 22/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 22/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [00:00:00 22/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [02:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 22/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [02:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [02:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [02:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [02:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 22/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 22/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [03:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [03:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 22/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 22/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [03:00:00 22/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 22/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 22/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 22/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 22/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 22/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 22/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 22/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 22/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 22/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 22/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 22/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 22/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 22/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [04:00:00 22/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 22/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 22/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 22/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 22/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 22/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [04:00:00 22/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [04:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [04:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 22/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 22/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 22/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 22/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 22/10/2016] id: Imp Skin Cleanse #2 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 22/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 22/10/2016] id: ImpSkin Character #2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 22/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 22/10/2016] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [04:00:00 22/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 22/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 22/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 22/10/2016] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [04:00:00 22/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 22/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 22/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [04:00:00 22/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 22/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 22/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 22/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [04:00:00 22/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [04:00:00 22/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 22/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 22/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 22/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 22/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 22/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 22/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 22/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 22/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 22/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 22/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 22/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 22/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 22/10/2016] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [04:00:00 22/10/2016] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [04:00:00 22/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 22/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [04:00:00 22/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [04:00:00 22/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 22/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 22/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 22/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [04:00:00 22/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [04:00:00 22/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 22/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Problem st: NotStopd t0: [04:00:00 22/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 22/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Consist. Moist st: NotStopd t0: [04:00:00 22/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [04:00:00 22/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 11 u1: number st: NotStopd t0: [04:00:00 22/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [02:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [02:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 170 vu: ml t0: [03:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [03:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 210 vu: ml t0: [04:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [04:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 140 vu: ml
t0: [05:00:00 22/10/2016] id: High MV Alarm el: 0 cu: MICU cg: RRT v1: 25 t0: [05:00:00 22/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:00:00 22/10/2016] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:00:00 22/10/2016] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [05:00:00 22/10/2016] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [05:00:00 22/10/2016] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [05:00:00 22/10/2016] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [05:00:00 22/10/2016] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [05:00:00 22/10/2016] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 22/10/2016] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 22/10/2016] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [05:00:00 22/10/2016] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [05:00:00 22/10/2016] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [05:00:00 22/10/2016] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [05:00:00 22/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Drager st: NotStopd
t0: [05:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 22/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [05:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [05:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [05:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 22/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [06:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [06:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 22/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 200 vu: ml t0: [05:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [05:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml t0: [06:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [06:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [09:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 22/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [09:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [09:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 22/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [09:00:00 22/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [09:00:00 22/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [09:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [09:00:00 22/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [09:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [09:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 255 vu: ml t0: [09:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml
t0: [09:00:00 22/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Orientation st: NotStopd t0: [09:00:00 22/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 22/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [09:00:00 22/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [09:00:00 22/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [09:00:00 22/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [09:00:00 22/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [09:00:00 22/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 22/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [09:00:00 22/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 22/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [09:00:00 22/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [09:00:00 22/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [09:00:00 22/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [09:00:00 22/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [09:00:00 22/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [09:00:00 22/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [09:00:00 22/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [09:00:00 22/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [09:00:00 22/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [09:00:00 22/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [09:00:00 22/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [09:00:00 22/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 22/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 22/10/2016] id: Imp Skin Cleanse #2 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [09:00:00 22/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [09:00:00 22/10/2016] id: ImpSkin Character #2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 22/10/2016] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 22/10/2016] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [09:00:00 22/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [09:00:00 22/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [09:00:00 22/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [09:00:00 22/10/2016] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [09:00:00 22/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [09:00:00 22/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [09:00:00 22/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [09:00:00 22/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [09:00:00 22/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 22/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [09:00:00 22/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 22/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [09:00:00 22/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [09:00:00 22/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Trach Mask st: NotStopd t0: [09:00:00 22/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 22/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [09:00:00 22/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [09:00:00 22/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 22/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [09:00:00 22/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 22/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 22/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [09:00:00 22/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [09:00:00 22/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [09:00:00 22/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [09:00:00 22/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 22/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [09:00:00 22/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 22/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [09:00:00 22/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 22/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [09:00:00 22/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [09:00:00 22/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [09:00:00 22/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [09:00:00 22/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [09:00:00 22/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 22/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 22/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [09:00:00 22/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [09:00:00 22/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [09:00:00 22/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [09:00:00 22/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [09:00:00 22/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 22/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [09:00:00 22/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [09:00:00 22/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 22/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [09:00:00 22/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 22/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Anxious st: NotStopd t0: [09:00:00 22/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [09:00:00 22/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [09:00:00 22/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [09:00:00 22/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 22/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [09:00:00 22/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [09:00:00 22/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [09:00:00 22/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin EC v1: 81 u1: mg
t0: [10:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 22/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [10:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [10:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 22/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [11:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [11:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [11:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [11:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [11:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [11:00:00 22/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [11:00:00 22/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml
t0: [12:00:00 22/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Family at Bedsid st: NotStopd t0: [12:00:00 22/10/2016] id: Pain Level el: 0 cu: MICU cg: RN v1: 2-Mild st: NotStopd t0: [12:00:00 22/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 22/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 22/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [12:00:00 22/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 22/10/2016] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 22/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 22/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 22/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [12:00:00 22/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [12:00:00 22/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [12:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 22/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 22/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 22/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 22/10/2016] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 22/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [12:00:00 22/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 22/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 22/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [12:00:00 22/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 22/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 22/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 22/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [12:00:00 22/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 22/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 22/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 22/10/2016] id: Pain Cause el: 0 cu: MICU cg: RN v1: At Rest st: NotStopd t0: [12:00:00 22/10/2016] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: 2-Mild st: NotStopd t0: [12:00:00 22/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [12:00:00 22/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: Other/Remarks v2: Other/Remarks st: NotStopd t0: [12:00:00 22/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: Dull st: NotStopd t0: [12:00:00 22/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [12:00:00 22/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 22/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 22/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 22/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 22/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [12:00:00 22/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 22/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 22/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 22/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 22/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [12:00:00 22/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [12:00:00 22/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 22/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [12:00:00 22/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 22/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 22/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [12:00:00 22/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 22/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 22/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 22/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [12:00:00 22/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 22/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 22/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [12:00:00 22/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 10 vu: ml t0: [12:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 22/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [12:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 22/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 300 vu: ml t0: [12:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [12:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
tf: [12:00:00 23/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Alteplase (Catheter Clearance) v1: 1 u1: mg
tf: [15:00:00 23/10/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [14:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 22/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [14:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [14:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 89.3333 u1: mmHg st: NotStopd t0: [14:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 22/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [14:00:00 22/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [14:00:00 22/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [14:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 22/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 22/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [14:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [14:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [16:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 22/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 22/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 22/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 22/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 22/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [16:00:00 22/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [16:00:00 22/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [16:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 22/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [16:00:00 22/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 22/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 22/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 22/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 22/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 22/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [16:00:00 22/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 22/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 22/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 22/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 22/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 22/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 22/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 22/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 22/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 22/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 22/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 22/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 22/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 22/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 22/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 22/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [16:00:00 22/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [16:00:00 22/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 22/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 22/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 22/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 22/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 22/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [16:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 22/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [16:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [16:00:00 22/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 200 vu: ml
t0: [17:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [17:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [17:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 22/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [17:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [17:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [23:00:00 22/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 880 ap: none
t0: [13:00:00 22/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 22/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Trach Mask st: NotStopd t0: [13:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [13:00:00 22/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [13:00:00 22/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [13:00:00 22/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Other/Remarks st: NotStopd t0: [16:00:00 22/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 22/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 22/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 22/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [17:00:00 22/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 22/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Trach Mask st: NotStopd t0: [17:00:00 22/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [17:00:00 22/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [17:00:00 22/10/2016] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: Other/Remarks st: NotStopd t0: [18:00:00 22/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [18:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 22/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Very Agitated st: NotStopd t0: [18:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 22/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [18:00:00 22/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 22/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [18:00:00 22/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [18:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [18:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 22/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [18:00:00 22/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 22/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [18:00:00 22/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [18:00:00 22/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [18:00:00 22/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Confused st: NotStopd t0: [18:00:00 22/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [18:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [18:00:00 22/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Disoriented st: NotStopd t0: [18:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 22/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [18:00:00 22/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [18:00:00 22/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [18:00:00 22/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [18:00:00 22/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [18:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 11 u1: BPM st: NotStopd t0: [18:00:00 22/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [18:00:00 22/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 22/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 22/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 22/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [18:00:00 22/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [18:00:00 22/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [18:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [18:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
tf: [19:00:00 22/10/2016] pt: Unit Dose rt: IM fr: Q2H:PRN m1: Haloperidol v1: 2 u1: mg tf: [17:00:00 23/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 18 dn: 1 m1: Lorazepam v1: 4 u1: mg
t0: [12:00:00 22/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 141 rs: Manual st: NotStopd t0: [18:00:00 22/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 146 rs: Manual st: NotStopd
t0: [18:00:00 22/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [18:00:00 22/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [18:00:00 22/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [18:00:00 22/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [18:00:00 22/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd
t0: [19:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [19:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [19:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [19:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [19:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml
t0: [20:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 22/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [20:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [20:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [20:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 22/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 22/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [20:00:00 22/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [20:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 22/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [20:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [20:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 300 vu: ml t0: [21:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [21:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 120 vu: ml
tf: [15:00:00 23/10/2016] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Glargine v1: 60 u1: UNIT tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 50 u1: mg
t0: [23:00:00 22/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 169 rs: Manual st: NotStopd
t0: [21:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [21:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 74.3333 u1: mmHg st: NotStopd t0: [21:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [22:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [22:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [22:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [22:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 22/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 22/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 22/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 22/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 22/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 22/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [23:00:00 22/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 22/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [23:00:00 22/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [23:00:00 22/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 22/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 22/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 22/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 23/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [00:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [00:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [00:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [00:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 23/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 23/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [00:00:00 23/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [00:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [22:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml t0: [23:00:00 22/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 22/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 22/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [23:00:00 22/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml t0: [00:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [00:00:00 23/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 110 vu: ml
t0: [20:00:00 22/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 22/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 22/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 22/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [20:00:00 22/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 22/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 22/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [20:00:00 22/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 22/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [20:00:00 22/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [20:00:00 22/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 22/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 22/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 22/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 22/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 22/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 22/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [20:00:00 22/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 22/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 22/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Confused st: NotStopd t0: [20:00:00 22/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 22/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 22/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Disoriented st: NotStopd t0: [20:00:00 22/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 22/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 22/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 22/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 22/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [20:00:00 22/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 22/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 22/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 22/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 22/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 22/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 22/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 22/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 22/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [20:00:00 22/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [21:00:00 22/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 22/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 22/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 22/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 22/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 22/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [21:00:00 22/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 22/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [21:00:00 22/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 22/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 22/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 22/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 23/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 23/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 23/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 23/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 23/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 23/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 23/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [00:00:00 23/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 23/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [00:00:00 23/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [00:00:00 23/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 23/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 23/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 23/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 23/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 23/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 23/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 23/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 23/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 23/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [00:00:00 23/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 23/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 23/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Confused st: NotStopd t0: [00:00:00 23/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 23/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 23/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 23/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Disoriented st: NotStopd t0: [00:00:00 23/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 23/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 23/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 23/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 23/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 23/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 23/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 23/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 23/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 23/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [00:00:00 23/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 23/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 23/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 23/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 23/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 23/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 23/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 23/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 23/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 23/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 23/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 23/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [00:00:00 23/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 23/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [01:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [01:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [02:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [02:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 23/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [03:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [03:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 23/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 23/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 23/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 23/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 23/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 23/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 23/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [03:00:00 23/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 23/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 23/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 23/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 23/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 23/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 23/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 23/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [04:00:00 23/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 23/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 23/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [04:00:00 23/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 23/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [04:00:00 23/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [04:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [04:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 23/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 23/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 23/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 23/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [04:00:00 23/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 23/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 23/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [04:00:00 23/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 23/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 23/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Confused st: NotStopd t0: [04:00:00 23/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 23/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 23/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Disoriented st: NotStopd t0: [04:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 23/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 23/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 23/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 23/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 23/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [04:00:00 23/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [04:00:00 23/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 23/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 23/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 23/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 23/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 23/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 23/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [04:00:00 23/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [04:00:00 23/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 23/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 23/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [04:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 23/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [01:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [02:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [02:00:00 23/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml t0: [03:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [04:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [04:00:00 23/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 360 vu: ml
t0: [01:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [02:00:00 23/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [02:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [03:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 77.3333 u1: mmHg st: NotStopd t0: [04:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [05:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [05:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [05:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [05:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [05:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 23/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [06:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [06:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [06:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 23/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 300 vu: ml t0: [05:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [06:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [06:00:00 23/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 220 vu: ml
t0: [08:30:00 23/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:30:00 23/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:30:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:30:00 23/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:30:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 23/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:30:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:30:00 23/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:30:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:30:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:30:00 23/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:30:00 23/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:30:00 23/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:30:00 23/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [08:30:00 23/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:30:00 23/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [08:30:00 23/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:30:00 23/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:30:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [08:30:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:30:00 23/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:30:00 23/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:30:00 23/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:30:00 23/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:30:00 23/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:30:00 23/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [08:30:00 23/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:30:00 23/10/2016] id: ImpSkin Character #2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:30:00 23/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [08:30:00 23/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:30:00 23/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:30:00 23/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:30:00 23/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [08:30:00 23/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:30:00 23/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [08:30:00 23/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [08:30:00 23/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [08:30:00 23/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:30:00 23/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:30:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:30:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [08:30:00 23/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [08:30:00 23/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:30:00 23/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:30:00 23/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:30:00 23/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:30:00 23/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:30:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:30:00 23/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:30:00 23/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:30:00 23/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:30:00 23/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:30:00 23/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [08:30:00 23/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:30:00 23/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [08:30:00 23/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [08:30:00 23/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:30:00 23/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:30:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:30:00 23/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:30:00 23/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:30:00 23/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:30:00 23/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [08:30:00 23/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:30:00 23/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:30:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:30:00 23/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:30:00 23/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [08:30:00 23/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [08:30:00 23/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:30:00 23/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [08:30:00 23/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:30:00 23/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [08:30:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:30:00 23/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:30:00 23/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:30:00 23/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:30:00 23/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [08:30:00 23/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:30:00 23/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:30:00 23/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:30:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 25 vu: ml t0: [08:30:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 25 vu: ml t0: [08:30:00 23/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [08:30:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 212.5 vu: ml t0: [08:30:00 23/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 380 vu: ml
t0: [08:45:00 23/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31 u1: % rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.6 u1: gm/dl rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 317 rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.66 u1: /mic l rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd
t0: [08:45:00 23/10/2016] id: BUN el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 106 rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 164 rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 4.6 rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 106 rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 164 rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.6 rs: Final st: NotStopd t0: [08:45:00 23/10/2016] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [10:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [10:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [10:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [10:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 23/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 23/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 15 vu: ml t0: [10:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 15 vu: ml t0: [10:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 127.5 vu: ml t0: [10:00:00 23/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 130 vu: ml
t0: [11:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [11:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [11:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [11:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [11:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [11:00:00 23/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [12:00:00 23/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 88 rs: Manual st: NotStopd
t0: [12:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 23/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 23/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [12:00:00 23/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 23/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 23/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 23/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 23/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [12:00:00 23/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [12:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [12:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 23/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [12:00:00 23/10/2016] id: ImpSkin Character #2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 23/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 23/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [12:00:00 23/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 23/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 23/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [12:00:00 23/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 23/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 23/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 23/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 23/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 23/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [12:00:00 23/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 23/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 23/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 23/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 23/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 23/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 23/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 23/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 23/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [12:00:00 23/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 23/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 23/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 23/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 23/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 23/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 23/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 23/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 23/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 23/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 23/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 23/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 23/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [12:00:00 23/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 23/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 23/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [12:00:00 23/10/2016] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 416 vo: 15 vu: ml t0: [12:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 23/10/2016] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 50 vu: ml t0: [12:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [12:00:00 23/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 80 vu: ml
t0: [14:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 109 u1: BPM st: NotStopd t0: [14:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [14:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [14:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 23/10/2016] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 274 vo: 250 vu: ml t0: [14:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [14:00:00 23/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [23:00:00 23/10/2016] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 550 ap: none
t0: [12:00:00 23/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [12:00:00 23/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.3 u1: Deg. F st: NotStopd
t0: [14:20:00 23/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [14:20:00 23/10/2016] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [14:20:00 23/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Trach Mask st: NotStopd t0: [14:20:00 23/10/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 12 u1: lpm st: NotStopd t0: [14:20:00 23/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [14:20:00 23/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Expectorated v2: Small st: NotStopd
t0: [12:00:00 23/10/2016] id: Previous Weight el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [12:00:00 23/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [12:00:00 23/10/2016] id: BSA - English el: 0 cu: MICU cg: RN v1: 1.81379 u1: m2 st: NotStopd t0: [12:00:00 23/10/2016] id: BSA - Metric el: 0 cu: MICU cg: RN v1: 2.1004 u1: m2 st: NotStopd t0: [12:00:00 23/10/2016] id: Weight Change el: 0 cu: MICU cg: RN v1: 0 u1: kg st: NotStopd t0: [12:00:00 23/10/2016] id: Daily Weight el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [14:00:00 23/10/2016] id: Previous Weight el: 0 cu: MICU cg: RN v1: 0 u1: kg st: NotStopd t0: [14:00:00 23/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd
t0: [15:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [15:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [15:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [15:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 23/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [15:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
tf: [20:00:00 24/10/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 50 u1: mg tf: [20:00:00 24/10/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [08:00:00 23/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 23/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Trach Mask st: NotStopd t0: [08:00:00 23/10/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 15 u1: lpm st: NotStopd t0: [08:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd
t0: [12:00:00 23/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 23/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Trach Mask st: NotStopd t0: [12:00:00 23/10/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 15 u1: lpm st: NotStopd t0: [16:00:00 23/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 23/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RRT v1: Trach Mask st: NotStopd t0: [16:00:00 23/10/2016] id: O2 Flow (lpm) el: 0 cu: MICU cg: RRT v1: 12 u1: lpm st: NotStopd t0: [16:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd
t0: [12:00:00 23/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 23/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [12:00:00 23/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 23/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 23/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [16:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 23/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [16:00:00 23/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 23/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 23/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 23/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 23/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [16:00:00 23/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [16:00:00 23/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [16:00:00 23/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [16:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 23/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [16:00:00 23/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 23/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 23/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 23/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 23/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 23/10/2016] id: ImpSkin Character #2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 23/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 23/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [16:00:00 23/10/2016] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [16:00:00 23/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 23/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 23/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [16:00:00 23/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 23/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 23/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 23/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 23/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Dozing Intermit st: NotStopd t0: [16:00:00 23/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [16:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [16:00:00 23/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 23/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 23/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 23/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 23/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 23/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 23/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [16:00:00 23/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 23/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 23/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 23/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 23/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 23/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 23/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [16:00:00 23/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 23/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 23/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 23/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 23/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 23/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 23/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 23/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 23/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 23/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [16:00:00 23/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [16:00:00 23/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [16:00:00 23/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 23/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 23/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 23/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 23/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 23/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 23/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 23/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 23/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 23/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [16:00:00 23/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 23/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [16:00:00 23/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 23/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 200 vu: ml t0: [16:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [16:00:00 23/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
t0: [17:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [17:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [17:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 119 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [17:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [17:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 23/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [17:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [17:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [18:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [18:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 23/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [18:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [18:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 23/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [18:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 20 vu: ml nb: 1 t0: [18:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 170 vu: ml t0: [18:00:00 23/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml
tf: [21:00:00 23/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Chlorothiazide v1: 125 u1: mg tf: [20:00:00 24/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Furosemide v1: 80 u1: mg
tf: [21:00:00 23/10/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 21 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml tf: [20:00:00 24/10/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 21 dn: 1 m1: Chlorothiazide Sodium v1: 125 u1: mg m2: D5W v2: 50 u2: ml tf: [20:00:00 24/10/2016] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Glargine v1: 60 u1: UNIT
t0: [19:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [19:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [19:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [19:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [19:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 23/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [19:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [19:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [20:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [20:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 23/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [20:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [20:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 23/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 23/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [20:00:00 23/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [20:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [21:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [21:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [21:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [21:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 23/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [21:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [22:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [22:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 23/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [22:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 23/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 23/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 23/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 23/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 23/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 23/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [23:00:00 23/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 23/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [23:00:00 23/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [23:00:00 23/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 23/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [23:00:00 23/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 23/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 23/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [20:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [20:00:00 23/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 230 vu: ml t0: [21:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [21:00:00 23/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 180 vu: ml t0: [22:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [22:00:00 23/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml t0: [23:00:00 23/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 23/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 23/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [23:00:00 23/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 310 vu: ml
t0: [23:00:00 23/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 310 cv: 310 ap: none t0: [23:00:00 23/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: -205 cv: -205 ap: none t0: [23:00:00 23/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 20 cv: 1180 ap: none t0: [23:00:00 23/10/2016] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 105 cv: 3770 ap: none t0: [23:00:00 23/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 85 cv: 2040 ap: none t0: [23:00:00 23/10/2016] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 310 cv: 2940 ap: none t0: [23:00:00 23/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: -205 cv: 830 ap: none t0: [23:00:00 23/10/2016] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 310 cv: 2940 ap: none t0: [23:00:00 23/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: -205 cv: 15829.2 ap: carryForward t0: [23:00:00 24/10/2016] dt: multiple days id: LOS Net Body Balance el: 2 cu: -1 cg: RN cv: 14534.2 ap: carryForward
t0: [00:00:00 24/10/2016] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: CoWkr v1: 169 rs: Manual st: NotStopd
t0: [20:00:00 23/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 23/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 23/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 23/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 23/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [20:00:00 23/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [20:00:00 23/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 23/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [20:00:00 23/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [20:00:00 23/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [20:00:00 23/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 23/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [20:00:00 23/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 23/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [20:00:00 23/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Dozing Intermit st: NotStopd t0: [20:00:00 23/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 23/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 23/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Disoriented st: NotStopd t0: [20:00:00 23/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 23/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 23/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 23/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [20:00:00 23/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 23/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [20:00:00 23/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 23/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 23/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 23/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 23/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 23/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [20:00:00 23/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [21:00:00 23/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 24/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 24/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 24/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 24/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 24/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 24/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 24/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 24/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 24/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 24/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 24/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [00:00:00 24/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [00:00:00 24/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 24/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [00:00:00 24/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [00:00:00 24/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [00:00:00 24/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 24/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [00:00:00 24/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 24/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 24/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 24/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 24/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Dozing Intermit st: NotStopd t0: [00:00:00 24/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 24/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 24/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [00:00:00 24/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 24/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Disoriented st: NotStopd t0: [00:00:00 24/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 24/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [00:00:00 24/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 24/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 24/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 24/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 24/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 24/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 24/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 24/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 24/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 24/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 24/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 24/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 24/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [00:00:00 24/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [00:00:00 24/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 24/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 24/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [00:00:00 24/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [01:00:00 24/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 24/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 24/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [01:00:00 24/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 24/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 24/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 110 u1: BPM st: NotStopd t0: [01:00:00 24/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 24/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [01:00:00 24/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [01:00:00 24/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 24/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [01:00:00 24/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [01:00:00 24/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 24/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 24/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 24/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 24/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [02:00:00 24/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [02:00:00 24/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 24/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 24/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [02:00:00 24/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 24/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [02:00:00 24/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 24/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 24/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [02:00:00 24/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [02:00:00 24/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 24/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 24/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 24/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 24/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [03:00:00 24/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 24/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 24/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [03:00:00 24/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 24/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [03:00:00 24/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [03:00:00 24/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 24/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [03:00:00 24/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 24/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 24/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 24/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 24/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 24/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 24/10/2016] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 24/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [04:00:00 24/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 24/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 24/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 24/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 24/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 24/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [04:00:00 24/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [04:00:00 24/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 24/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [04:00:00 24/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [04:00:00 24/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [04:00:00 24/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 24/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [04:00:00 24/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 24/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 24/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 24/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 24/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Dozing Intermit st: NotStopd t0: [04:00:00 24/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 24/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 111 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [04:00:00 24/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [04:00:00 24/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 24/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Disoriented st: NotStopd t0: [04:00:00 24/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 24/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [04:00:00 24/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 24/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 24/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 24/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 24/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 24/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 24/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [04:00:00 24/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [04:00:00 24/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 24/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 24/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 24/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 24/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [04:00:00 24/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [04:00:00 24/10/2016] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 24/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 24/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [04:00:00 24/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 24/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 23/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 100 vu: ml t0: [00:00:00 24/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 24/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 24/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [00:00:00 24/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 480 vu: ml t0: [01:00:00 24/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 24/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 24/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [01:00:00 24/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 410 vu: ml t0: [02:00:00 24/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 24/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 24/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [02:00:00 24/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [03:00:00 24/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 24/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 24/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [03:00:00 24/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 400 vu: ml t0: [04:00:00 24/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 24/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 24/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [04:00:00 24/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 360 vu: ml
t0: [20:00:00 23/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 23/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [20:00:00 23/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [20:00:00 23/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 23/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 23/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [20:00:00 23/10/2016] id: ImpSkin Character #2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 23/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 23/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [20:00:00 23/10/2016] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [20:00:00 23/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 23/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 23/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [20:00:00 23/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [20:00:00 23/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 23/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 23/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 23/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 23/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 23/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 23/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 23/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [20:00:00 23/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 23/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 23/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [21:00:00 23/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 23/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 23/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 23/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 23/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 23/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [21:00:00 23/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 23/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [21:00:00 23/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [21:00:00 23/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 23/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [21:00:00 23/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 24/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 24/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [00:00:00 24/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 24/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [00:00:00 24/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 24/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 24/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 24/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 24/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 24/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 24/10/2016] id: ImpSkin Character #2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 24/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 24/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [00:00:00 24/10/2016] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 24/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 24/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 24/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [00:00:00 24/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 24/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 24/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 24/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 24/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 24/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [00:00:00 24/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 24/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 24/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 24/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 24/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 24/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 24/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 24/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 24/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 24/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 24/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 24/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [00:00:00 24/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 24/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 24/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [03:00:00 24/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 24/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 24/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 24/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 24/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 24/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [03:00:00 24/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 24/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [03:00:00 24/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [03:00:00 24/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 24/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [03:00:00 24/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 24/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 24/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [04:00:00 24/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [04:00:00 24/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 24/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 24/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [04:00:00 24/10/2016] id: ImpSkin Character #2 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 24/10/2016] id: ImpSkin Treatment #2 el: 0 cu: MICU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 24/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [04:00:00 24/10/2016] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [04:00:00 24/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [04:00:00 24/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 24/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [04:00:00 24/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [04:00:00 24/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 24/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 24/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 24/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 24/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 24/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 24/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 24/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [04:00:00 24/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 24/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [04:00:00 24/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [05:00:00 24/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 24/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 24/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [05:00:00 24/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 24/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 24/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [05:00:00 24/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 24/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [05:00:00 24/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [05:00:00 24/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 24/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [05:00:00 24/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 24/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 24/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 24/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 24/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 24/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [05:00:00 24/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 210 vu: ml
t0: [06:00:00 24/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 24/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 24/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 24/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 24/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 24/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [06:00:00 24/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 24/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 24/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [06:00:00 24/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 24/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [06:00:00 24/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 24/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 24/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 24/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vu: ml t0: [04:00:00 24/10/2016] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU cg: RN ai: 189 vo: 300 vu: ml t0: [06:00:00 24/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 24/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 24/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [06:00:00 24/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 200 vu: ml
t0: [07:00:00 24/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 24/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 24/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [07:00:00 24/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 24/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 24/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [07:00:00 24/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 24/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 100 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [07:00:00 24/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [07:00:00 24/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 24/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [07:00:00 24/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [07:00:00 24/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 24/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 24/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 24/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 24/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [07:00:00 24/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 160 vu: ml
t0: [08:00:00 24/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Incr Visibility st: NotStopd t0: [08:00:00 24/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [08:00:00 24/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 24/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 24/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 24/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 24/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 24/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 24/10/2016] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 24/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 24/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 24/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [08:00:00 24/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 24/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 24/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 24/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 24/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [08:00:00 24/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 24/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [08:00:00 24/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [08:00:00 24/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 24/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 24/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [08:00:00 24/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 24/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 24/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [08:00:00 24/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 24/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [08:00:00 24/10/2016] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [08:00:00 24/10/2016] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Black st: NotStopd t0: [08:00:00 24/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 24/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 24/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [08:00:00 24/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 24/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 24/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 24/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 24/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 24/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 24/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 101 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [08:00:00 24/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 58.3333 u1: mmHg st: NotStopd t0: [08:00:00 24/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Trach Mask st: NotStopd t0: [08:00:00 24/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 24/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 24/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 24/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 24/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 24/10/2016] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 24/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 24/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 24/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 24/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 24/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 24/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 24/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 24/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [08:00:00 24/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 24/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 24/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 24/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 24/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 24/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 24/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 24/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 24/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 24/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 24/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [08:00:00 24/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 24/10/2016] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 24/10/2016] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [08:00:00 24/10/2016] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [08:00:00 24/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 24/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 24/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 24/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 24/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Apathy st: NotStopd t0: [08:00:00 24/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 24/10/2016] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 24/10/2016] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 24/10/2016] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 24/10/2016] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Moist st: NotStopd t0: [08:00:00 24/10/2016] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 24/10/2016] id: Braden Score el: 0 cu: MICU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 24/10/2016] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 24/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 24/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 24/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [08:00:00 24/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [08:00:00 24/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Thick st: NotStopd
t0: [09:00:00 24/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 24/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 24/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 24/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [09:00:00 24/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 24/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 24/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 24/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [09:00:00 24/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 24/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [09:00:00 24/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [09:00:00 24/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Trach Mask st: NotStopd t0: [09:00:00 24/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 24/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [09:00:00 24/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 24/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 24/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 24/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 24/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 24/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [09:00:00 24/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
tf: [20:00:00 24/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Alteplase (Catheter Clearance) v1: 1 u1: mg tf: [20:00:00 24/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Alteplase (Catheter Clearance) v1: 1 u1: mg
t0: [09:00:00 24/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Incr Visibility st: NotStopd t0: [09:00:00 24/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 24/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [09:00:00 24/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 24/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [09:00:00 24/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [09:00:00 24/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 24/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Incr Visibility st: NotStopd t0: [10:00:00 24/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 24/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [10:00:00 24/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 24/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 24/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 24/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 24/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [10:00:00 24/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 24/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 24/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 24/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [10:00:00 24/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 24/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [10:00:00 24/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [10:00:00 24/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [10:00:00 24/10/2016] id: GI#1 Tube Stat/Drain el: 0 cu: MICU cg: RN v1: Feeding st: NotStopd t0: [10:00:00 24/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [10:00:00 24/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [10:00:00 24/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 24/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [10:00:00 24/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 24/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [10:00:00 24/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [10:00:00 24/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [10:00:00 24/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [10:00:00 24/10/2016] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Obese st: NotStopd t0: [10:00:00 24/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [10:00:00 24/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [10:00:00 24/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 24/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [10:00:00 24/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [10:00:00 24/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [10:00:00 24/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 24/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 24/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [10:00:00 24/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Trach Mask st: NotStopd t0: [10:00:00 24/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [10:00:00 24/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [10:00:00 24/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 24/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [10:00:00 24/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 24/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 24/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 24/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 24/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [10:00:00 24/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 24/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 24/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [10:00:00 24/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [10:00:00 24/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [10:00:00 24/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 24/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 24/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 24/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 24/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 24/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [10:00:00 24/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 24/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [10:00:00 24/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 24/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [10:00:00 24/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 24/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [10:00:00 24/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 24/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [10:00:00 24/10/2016] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd
t0: [10:00:00 24/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 24/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 24/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [10:00:00 24/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml
t0: [12:58:00 24/10/2016] id: BSA el: 1033 cu: MICU cg: -1 v1: 3.04107 u1: m2 t0: [12:58:00 24/10/2016] id: Admit Wt el: 1032 cu: MICU cg: -1 v1: 173 u1: kg t0: [12:58:00 24/10/2016] id: Allergy 1 el: 1020 cu: MICU cg: -1 t0: [12:58:00 24/10/2016] id: Diagnosis/op el: 1023 cu: MICU cg: -1 v1: CVA; CHF PNEUMONIA t0: [12:58:00 24/10/2016] id: Service el: 1026 cu: MICU cg: -1 v1: MED t0: [12:58:00 24/10/2016] id: Admit Ht el: 1034 cu: MICU cg: -1 v1: 71 u1: inches t0: [12:58:00 24/10/2016] id: Readmission el: 1014 cu: MICU cg: -1 t0: [12:58:00 24/10/2016] id: Marital Status el: 1006 cu: MICU cg: -1 v1: M t0: [12:58:00 24/10/2016] id: Religion el: 1000 cu: MICU cg: -1 v1: U t0: [12:58:00 24/10/2016] id: Allergy 2 el: 1021 cu: MICU cg: -1 t0: [12:58:00 24/10/2016] id: Ext el: 1010 cu: MICU cg: -1 t0: [12:58:00 24/10/2016] id: PIN el: 1012 cu: MICU cg: -1 t0: [12:58:00 24/10/2016] id: Allergy 3 el: 1022 cu: MICU cg: -1
t0: [11:00:00 24/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 24/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 24/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 24/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 24/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [11:00:00 24/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:00:00 24/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [11:00:00 24/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Trach Mask st: NotStopd t0: [11:00:00 24/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 24/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [11:00:00 24/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:00:00 24/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 24/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [11:00:00 24/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [11:00:00 24/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 24/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 24/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 24/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [12:00:00 24/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.41 u1: torr st: NotStopd t0: [12:00:00 24/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [12:00:00 24/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Trach Mask st: NotStopd t0: [12:00:00 24/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 24/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [12:00:00 24/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 24/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 24/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Moderate st: NotStopd t0: [12:00:00 24/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 24/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 24/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [13:00:00 24/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [13:00:00 24/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 61.6667 u1: mmHg st: NotStopd t0: [13:00:00 24/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Trach Mask st: NotStopd t0: [13:00:00 24/10/2016] id: Previous Weight el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [13:00:00 24/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [13:00:00 24/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 24/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [13:00:00 24/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [13:00:00 24/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 24/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 24/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 24/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [14:00:00 24/10/2016] id: FiO2 Set el: 0 cu: MICU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [14:00:00 24/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [14:00:00 24/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 117 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [14:00:00 24/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [14:00:00 24/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 24/10/2016] id: Previous Weight el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [14:00:00 24/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [14:00:00 24/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 24/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 24/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 24/10/2016] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large t0: [11:00:00 24/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 24/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 24/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [11:00:00 24/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 70 vu: ml t0: [12:00:00 24/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 24/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 24/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [13:00:00 24/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 24/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 24/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [14:00:00 24/10/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 24/10/2016] id: D5W 1000.0ml IV Infusions el: 3 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 24/10/2016] id: Tube Feeding PO/Gastric el: 1 cu: MICU cg: RN ai: 210 vo: 85 vu: ml t0: [14:00:00 24/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 150 vu: ml
t0: [23:00:00 24/10/2016] dt: 24 id: IV Infusion In Total el: 2 cu: -1 cg: RN cv: 600 ap: none t0: [23:00:00 24/10/2016] dt: 24 id: 24h Total In el: 2 cu: -1 cg: RN cv: 1875 ap: none t0: [23:00:00 24/10/2016] dt: 24 id: Stool Out Total el: 2 cu: -1 cg: RN cv: 0 ap: carryForward t0: [23:00:00 24/10/2016] dt: 24 id: Tube Feeds In Total el: 2 cu: -1 cg: RN cv: 1275 ap: none
t0: [11:00:00 24/10/2016] id: Pain Level el: 0 cu: MICU cg: RN v1: 7-Mod to Severe st: NotStopd t0: [11:00:00 24/10/2016] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [11:00:00 24/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [11:00:00 24/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 24/10/2016] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [11:00:00 24/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 24/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 24/10/2016] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 24/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 24/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [11:00:00 24/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [11:00:00 24/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [11:00:00 24/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [11:00:00 24/10/2016] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 24/10/2016] id: Pain Cause el: 0 cu: MICU cg: RN v1: Movement/Turning st: NotStopd t0: [11:00:00 24/10/2016] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: 7-Mod to Severe st: NotStopd t0: [11:00:00 24/10/2016] id: Pain Location el: 0 cu: MICU cg: RN v1: Right Arm st: NotStopd t0: [11:00:00 24/10/2016] id: Pain Management el: 1 cu: MICU cg: RN v1: Repositioned st: NotStopd t0: [11:00:00 24/10/2016] id: Pain Type el: 0 cu: MICU cg: RN v1: Constant st: NotStopd t0: [11:00:00 24/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [11:00:00 24/10/2016] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 24/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 24/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 24/10/2016] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 24/10/2016] id: Bath el: 1 cu: MICU cg: RN v1: bath t0: [12:00:00 24/10/2016] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Incr Visibility st: NotStopd t0: [12:00:00 24/10/2016] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/10/2016] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 24/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 24/10/2016] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 24/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 24/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 24/10/2016] id: Edema Location/Amt#1 el: 0 cu: MICU cg: RN v1: Both Legs v2: 4 mm st: NotStopd t0: [12:00:00 24/10/2016] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 24/10/2016] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 24/10/2016] id: GCS Total el: 0 cu: MICU cg: RN v1: 14 u1: points st: NotStopd t0: [12:00:00 24/10/2016] id: GI Intub #1/Site el: 0 cu: MICU cg: RN v1: PEJ v2: Abdomen st: NotStopd t0: [12:00:00 24/10/2016] id: GU Cath Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 3 st: NotStopd t0: [12:00:00 24/10/2016] id: GU Catheter Size el: 0 cu: MICU cg: RN v1: 20 French st: NotStopd t0: [12:00:00 24/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 24/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 24/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 24/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [12:00:00 24/10/2016] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Heel, Right st: NotStopd t0: [12:00:00 24/10/2016] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 24/10/2016] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Body, Lower st: NotStopd t0: [12:00:00 24/10/2016] id: LL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 24/10/2016] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 24/10/2016] id: LU Strength/Movement el: 0 cu: MICU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 24/10/2016] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 24/10/2016] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 24/10/2016] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 24/10/2016] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 24/10/2016] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 1 st: NotStopd t0: [12:00:00 24/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 24/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 24/10/2016] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 24/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 24/10/2016] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 24/10/2016] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 24/10/2016] id: RL Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 24/10/2016] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 24/10/2016] id: RU Strength/Movement el: 0 cu: MICU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 24/10/2016] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [12:00:00 24/10/2016] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [12:00:00 24/10/2016] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/10/2016] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 24/10/2016] id: Responds to Stimuli el: 0 cu: MICU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 24/10/2016] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 24/10/2016] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 24/10/2016] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 24/10/2016] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 24/10/2016] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 24/10/2016] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 24/10/2016] id: Support Systems el: 0 cu: MICU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 24/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 24/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 24/10/2016] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 24/10/2016] id: Verbal Response el: 0 cu: MICU cg: RN v1: 4 Confused st: NotStopd t0: [12:00:00 24/10/2016] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [13:00:00 24/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 24/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 24/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 24/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 24/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 24/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 24/10/2016] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 24/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 24/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 24/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 24/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Trach Mask st: NotStopd t0: [14:00:00 24/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 24/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Moderate st: NotStopd t0: [15:00:00 24/10/2016] id: INV#3Chg o/Wire Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [15:00:00 24/10/2016] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 24/10/2016] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 24/10/2016] id: Risk for Falls el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [15:00:00 24/10/2016] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 24/10/2016] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 24/10/2016] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 24/10/2016] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [15:00:00 24/10/2016] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 24/10/2016] id: INV Line#3 Site Date el: 0 cu: MICU cg: RN v1: 8 v2: 29 st: NotStopd t0: [15:00:00 24/10/2016] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [15:00:00 24/10/2016] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 8 v2: 28 st: NotStopd t0: [15:00:00 24/10/2016] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [15:00:00 24/10/2016] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 24/10/2016] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Fair st: NotStopd t0: [15:00:00 24/10/2016] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [15:00:00 24/10/2016] id: NBP Mean el: 0 cu: MICU cg: RN v1: 62.6667 u1: mmHg st: NotStopd t0: [15:00:00 24/10/2016] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Trach Mask st: NotStopd t0: [15:00:00 24/10/2016] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 24/10/2016] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 24/10/2016] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 24/10/2016] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 24/10/2016] id: PressureReduceDevice el: 0 cu: MICU cg: RN v1: Multipodus Boots st: NotStopd t0: [15:00:00 24/10/2016] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 146 u1: kg st: NotStopd t0: [15:00:00 24/10/2016] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [15:00:00 24/10/2016] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [15:00:00 24/10/2016] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 24/10/2016] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Expectorated v2: Moderate st: NotStopd t0: [15:00:00 24/10/2016] id: Therapeutic Bed el: 0 cu: MICU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 24/10/2016] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 24/10/2016] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 24/10/2016] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 100 vu: ml
t0: [23:00:00 24/10/2016] dt: 1 id: Total Hourly Output el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 24/10/2016] dt: 1 id: Net Hourly Balance el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 24/10/2016] dt: 24 id: Urine Out Total el: 2 cu: -1 cg: RN cv: 3170 ap: none t0: [23:00:00 24/10/2016] dt: 24 id: 24h Net Body Balance el: 2 cu: -1 cg: RN cv: -1295 ap: carryForward t0: [23:00:00 24/10/2016] dt: 24 id: 24h Total Out el: 2 cu: -1 cg: RN cv: 3170 ap: carryForward
tf: [16:40:00 24/10/2016] dt: 4 cu: MICU di: Other Facility
dd: 27801 ds: 8 ld: MORBID OBESITY dd: 3545 ds: 9 ld: MONONEURITIS MULTIPLEX dd: 4210 ds: 1 ld: AC/SUBAC BACT ENDOCARD dd: 42731 ds: 7 ld: ATRIAL FIBRILLATION dd: 4821 ds: 6 ld: PSEUDOMONAL PNEUMONIA dd: 5185 ds: 3 ld: POST TRAUM PULM INSUFFIC dd: 5990 ds: 1 ld: URIN TRACT INFECTION NOS dd: 7070 ds: 5 ld: DECUBITUS ULCER dd: 7907 ds: 2 ld: BACTEREMIA dd: 99662 ds: 4 ld: INFECT DUE TO VASCULAR G
tf: [21:00:00 07/11/2016] pt: Unit Dose rt: NG fr: QD fs: 10 dn: 1 m1: Sertraline HCl v1: 50 u1: mg tf: [21:00:00 07/11/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin v1: 81 u1: mg
tf: [11:00:00 29/10/2016] pt: Unit Dose rt: NG fr: TID fs: 08, 16, 22 dn: 3 m1: Clonazepam v1: 1 u1: mg tf: [12:00:00 03/11/2016] pt: Unit Dose rt: NG fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 50 u1: mg tf: [12:00:00 03/11/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 50 u1: mg tf: [12:00:00 05/11/2016] pt: Unit Dose rt: IH fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Ipratropium Bromide MDI v1: 2 u1: PUFF tf: [21:00:00 07/11/2016] pt: Unit Dose rt: NG fr: BID fs: 10, 22 dn: 2 m1: Ranitidine v1: 150 u1: mg
tf: [23:00:00 27/10/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [13:00:00 28/10/2016] pt: Unit Dose rt: SC fr: Q12H fs: 23, 11 dn: 2 m1: Heparin v1: 7500 u1: UNIT tf: [22:00:00 28/10/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 23 dn: 1 m1: Ciprofloxacin v1: 400 u1: mg m2: D5W v2: 200 u2: ml tf: [22:00:00 28/10/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 23 dn: 1 m1: Imipenem-Cilastatin v1: 500 u1: mg m2: NS v2: 100 u2: ml tf: [12:00:00 05/11/2016] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol Inhaler v1: 1-2 u1: PUFF
tf: [21:00:00 07/11/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
tf: [21:00:00 07/11/2016] pt: IV Piggyback rt: IV fr: Q4H fs: 10, 14, 18, 22, 2, 6 dn: 6 m1: Ampicillin Sodium v1: 2 u1: gm m2: NS v2: 100 u2: ml
tf: [21:00:00 07/11/2016] pt: Unit Dose rt: NG fr: Q4-6H:PRN m1: Oxycodone-Acetaminophen Elixir v1: 5-10 u1: ml
tf: [15:00:00 05/11/2016] pt: Unit Dose rt: SC fr: Q8H fs: 14, 22, 6 dn: 3 m1: Heparin v1: 7500 u1: UNIT
tf: [21:00:00 07/11/2016] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Glargine v1: 60 u1: UNIT
tf: [21:00:00 07/11/2016] pt: IV Piggyback rt: SC fr: 3X/WEEK m1: Epoetin Alfa v1: 15000 u1: UNIT m2: Vial v2: 1 u2: VIAL
tf: [12:00:00 30/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Haloperidol v1: 1 u1: mg
tf: [21:00:00 07/11/2016] pt: Unit Dose rt: NG fr: TID fs: 08, 16, 22 dn: 3 m1: Clonazepam v1: 2 u1: mg
tf: [05:00:00 31/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 6 dn: 1 m1: Haloperidol v1: 1 u1: mg
tf: [08:00:00 30/10/2016] pt: Unit Dose rt: IV fr: Q4-6H:PRN m1: Haloperidol v1: 1 u1: mg
tf: [08:00:00 31/10/2016] pt: Unit Dose rt: IV fr: ONCE fs: 9 dn: 1 m1: Haloperidol v1: 1 u1: mg tf: [21:00:00 07/11/2016] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Haloperidol v1: 2 u1: mg
tf: [21:00:00 07/11/2016] pt: Unit Dose rt: SL fr: PRN m1: Nitroglycerin SL v1: 0.3 u1: mg
tf: [21:00:00 07/11/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
tf: [21:00:00 07/11/2016] pt: Unit Dose rt: NG fr: Q6H:PRN m1: Diazepam v1: 5 u1: mg
tf: [18:00:00 02/11/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Gabapentin v1: 100 u1: mg
tf: [21:00:00 07/11/2016] pt: Unit Dose rt: PO fr: Q6H:PRN m1: Guaifenesin v1: 5-10 u1: ml tf: [21:00:00 07/11/2016] pt: Unit Dose rt: PO fr: Q6H:PRN m1: Promethazine HCl v1: 25 u1: mg
tf: [10:00:00 04/11/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Gabapentin v1: 200 u1: mg
tf: [21:00:00 07/11/2016] pt: Unit Dose rt: NG fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 50 u1: mg
tf: [21:00:00 07/11/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 50 u1: mg
tf: [22:00:00 04/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 23 dn: 1 m1: Morphine Sulfate v1: 4 u1: mg
tf: [21:00:00 07/11/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Zinc Sulfate v1: 220 u1: mg
tf: [21:00:00 07/11/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Gabapentin v1: 300 u1: mg
tf: [21:00:00 07/11/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Ascorbic Acid v1: 500 u1: mg
tf: [21:00:00 07/11/2016] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol-Ipratropium v1: 1-2 u1: PUFF tf: [21:00:00 07/11/2016] pt: Unit Dose rt: PO fr: Q6H:PRN m1: Milk of Magnesia v1: 30 u1: ml
tf: [21:00:00 07/11/2016] pt: Unit Dose rt: NG fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium (Liquid) v1: 100 u1: mg tf: [21:00:00 07/11/2016] pt: Unit Dose rt: NG fr: BID fs: 10, 22 dn: 2 m1: Senna v1: 1 u1: UDCUP tf: [21:00:00 07/11/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate v1: 100 u1: mg tf: [21:00:00 07/11/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Senna v1: 1 u1: TAB
tf: [15:18:00 28/11/2016] dt: 30331 cu: CSRU di: No Disch Status
t0: [14:01:00 07/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [14:01:00 07/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [14:01:00 07/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [14:01:00 07/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [14:01:00 07/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 130 u1: mmHg rs: Final st: NotStopd t0: [14:01:00 07/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd
t0: [14:01:00 07/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [14:01:00 07/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [14:01:00 07/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [14:01:00 07/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [14:01:00 07/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27 u1: % rs: Final st: NotStopd t0: [14:01:00 07/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.16 rs: Final st: NotStopd t0: [14:01:00 07/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [14:01:00 07/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [15:23:00 07/11/2016] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [17:14:00 07/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 198 rs: Final st: NotStopd t0: [17:14:00 07/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [17:14:00 07/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 198 rs: Final st: NotStopd t0: [17:14:00 07/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd
t0: [17:56:00 07/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [17:56:00 07/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 209 rs: Final st: NotStopd t0: [17:56:00 07/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [17:56:00 07/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [17:56:00 07/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [17:56:00 07/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [17:56:00 07/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 352 u1: mmHg rs: Final st: NotStopd t0: [17:56:00 07/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [17:56:00 07/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 209 rs: Final st: NotStopd t0: [17:56:00 07/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd
t0: [18:09:00 07/11/2016] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
id: Epinephrine-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 2mcgkgmin Epinephrine-k IV Infusions am: 2 du: mcgkgmin rt: IV Drip id: Levophed-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip id: Nitroglycerine-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions am: 100 du: mcgkgmin rt: IV Drip id: Neosynephrine-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip id: Propofol el: 100 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip id: KCL el: 100 cu: CSRU cg: RN io: D5W 50.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
io: D5W IV Infusions el: 1 cu: CSRU cg: RN ra: 10 ru: ml/hr
id: OR Crystalloid el: 1 cu: CSRU cg: RN io: OR Crystalloid OR Intake du: ml rt: Intravenous Push id: OR Colloid el: 1 cu: CSRU cg: RN io: OR Colloid OR Intake du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 50.0ml IV Infusions vo: 50 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W IV Infusions du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 2mcgkgmin Epinephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: N/A el: 1 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push id: Lactated Ringers el: 1 cu: CSRU cg: RN io: Lactated Ringers IV Infusions du: ml rt: Intravenous Push
t0: [19:24:00 07/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [19:24:00 07/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [19:24:00 07/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [19:24:00 07/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [19:24:00 07/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 340 u1: mmHg rs: Final st: NotStopd t0: [19:24:00 07/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd
t0: [19:24:00 07/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 206 rs: Final st: NotStopd t0: [19:24:00 07/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.1 rs: Final st: NotStopd t0: [19:24:00 07/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 206 rs: Final st: NotStopd t0: [19:24:00 07/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.1 rs: Final st: NotStopd
t0: [20:21:00 07/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [20:21:00 07/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 236 rs: Final st: NotStopd t0: [20:21:00 07/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 6.2 rs: Final st: NotStopd t0: [20:21:00 07/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [20:21:00 07/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [20:21:00 07/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [20:21:00 07/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 479 u1: mmHg rs: Final st: NotStopd t0: [20:21:00 07/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [20:21:00 07/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 236 rs: Final st: NotStopd t0: [20:21:00 07/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 6.2 rs: Final st: NotStopd
t0: [20:26:00 07/11/2016] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [20:43:00 07/11/2016] id: BSA el: 1033 cu: CSRU cg: -1 v1: 2.77203 u1: m2 t0: [20:43:00 07/11/2016] id: Admit Wt el: 1032 cu: CSRU cg: -1 v1: 145.4 u1: kg t0: [20:43:00 07/11/2016] id: Allergy 1 el: 1020 cu: CSRU cg: -1 t0: [20:43:00 07/11/2016] id: Diagnosis/op el: 1023 cu: CSRU cg: -1 v1: URINARY TRACT INFECTION t0: [20:43:00 07/11/2016] id: Service el: 1026 cu: CSRU cg: -1 v1: CSU t0: [20:43:00 07/11/2016] id: Admit Ht el: 1034 cu: CSRU cg: -1 v1: 71 u1: inches t0: [20:43:00 07/11/2016] id: Readmission el: 1014 cu: CSRU cg: -1 t0: [20:43:00 07/11/2016] id: Marital Status el: 1006 cu: CSRU cg: -1 v1: M t0: [20:43:00 07/11/2016] id: Religion el: 1000 cu: CSRU cg: -1 v1: RCA t0: [20:43:00 07/11/2016] id: Allergy 2 el: 1021 cu: CSRU cg: -1 t0: [20:43:00 07/11/2016] id: Ext el: 1010 cu: CSRU cg: -1 t0: [20:43:00 07/11/2016] id: PIN el: 1012 cu: CSRU cg: -1 t0: [20:43:00 07/11/2016] id: Allergy 3 el: 1022 cu: CSRU cg: -1
t0: [21:36:00 07/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 155 rs: Final st: NotStopd
t0: [21:36:00 07/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 16.4 rs: Final st: NotStopd t0: [21:36:00 07/11/2016] id: Fibrinogen Coags el: 0 cu: CSRU cg: 3161 v1: 246 rs: Final st: NotStopd t0: [21:36:00 07/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [21:36:00 07/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 37.6 rs: Final st: NotStopd t0: [21:36:00 07/11/2016] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 246 rs: Final st: NotStopd t0: [21:36:00 07/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [21:36:00 07/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 16.4 rs: Final st: NotStopd t0: [21:36:00 07/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 37.6 rs: Final st: NotStopd
t0: [21:49:00 07/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [21:49:00 07/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [21:49:00 07/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [21:49:00 07/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [21:49:00 07/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 107 u1: mmHg rs: Final st: NotStopd t0: [21:49:00 07/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd
t0: [21:49:00 07/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 261 rs: Final st: NotStopd t0: [21:49:00 07/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [21:49:00 07/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [21:49:00 07/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 261 rs: Final st: NotStopd t0: [21:49:00 07/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 24 u1: % rs: Final st: NotStopd t0: [21:49:00 07/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.13 rs: Final st: NotStopd t0: [21:49:00 07/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [21:49:00 07/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd
tf: [21:00:00 07/11/2016] pt: Unit Dose rt: IV fr: PRN m1: Calcium Gluconate v1: 2 u1: gm tf: [21:00:00 07/11/2016] pt: Unit Dose rt: IV fr: PRN m1: Magnesium Sulfate v1: 2 u1: gm tf: [21:00:00 07/11/2016] pt: Unit Dose rt: IV fr: Q6H:PRN m1: Metoclopramide v1: 10 u1: mg tf: [10:00:00 08/11/2016] pt: Unit Dose rt: IV fr: ONCE:PRN fs: 22 dn: 1 m1: Glycopyrrolate v1: 0.6 u1: mg tf: [10:00:00 08/11/2016] pt: Unit Dose rt: IV fr: ONCE:PRN fs: 22 dn: 1 m1: Glycopyrrolate v1: 0.6 u1: mg tf: [10:00:00 08/11/2016] pt: Unit Dose rt: IV fr: ONCE:PRN fs: 22 dn: 1 m1: Neostigmine v1: 3 u1: mg tf: [10:00:00 08/11/2016] pt: Unit Dose rt: IV fr: ONCE:PRN fs: 22 dn: 1 m1: Neostigmine v1: 3 u1: mg tf: [10:00:00 08/11/2016] pt: Unit Dose rt: IV fr: PRN m1: Meperidine v1: 12.5 u1: mg tf: [10:00:00 08/11/2016] pt: Unit Dose rt: IV fr: X1 PRN SHIVERING m1: Meperidine v1: 12.5 u1: mg tf: [15:00:00 08/11/2016] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Morphine Sulfate v1: 0.5-4.0 u1: mg tf: [15:00:00 08/11/2016] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Morphine Sulfate v1: 0.5-4.0 u1: mg tf: [15:00:00 08/11/2016] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Morphine Sulfate v1: 0.5-4.0 u1: mg tf: [21:00:00 08/11/2016] pt: Unit Dose rt: NG fr: Q6H fs: 22, 4, 10, 16 dn: 4 m1: Sucralfate v1: 1 u1: gm tf: [01:00:00 09/11/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Norepinephrine v1: 4 u1: mg m2: D5W v2: 250 u2: ml tf: [09:00:00 09/11/2016] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg tf: [09:00:00 09/11/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium v1: 100 u1: mg tf: [09:00:00 09/11/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Ranitidine v1: 150 u1: mg tf: [08:00:00 10/11/2016] pt: IV Piggyback rt: IV fr: TITRATE TO m1: Milrinone v1: 20 u1: mg m2: D5W v2: 100 u2: ml tf: [08:00:00 10/11/2016] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Midazolam HCl v1: 1-2 u1: mg tf: [08:00:00 10/11/2016] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Midazolam HCl v1: 1-2 u1: mg tf: [12:00:00 17/11/2016] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml tf: [12:00:00 17/11/2016] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml tf: [06:00:00 22/11/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Norepinephrine v1: 16 u1: mg m2: D5W v2: 250 u2: ml tf: [09:00:00 24/11/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Humulin-R Insulin v1: 100 u1: UNIT m2: NS v2: 100 u2: ml tf: [09:00:00 28/11/2016] pt: Unit Dose rt: NG fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium (Liquid) v1: 100 u1: mg tf: [09:00:00 28/11/2016] pt: Unit Dose rt: NG fr: BID fs: 10, 22 dn: 2 m1: Ranitidine v1: 150 u1: mg tf: [19:00:00 28/11/2016] pt: Unit Dose rt: IV fr: PRN m1: Calcium Gluconate v1: 2 u1: gm tf: [19:00:00 28/11/2016] pt: Unit Dose rt: IV fr: PRN m1: Magnesium Sulfate v1: 2 u1: gm tf: [19:00:00 28/11/2016] pt: Unit Dose rt: IV fr: Q6H:PRN m1: Metoclopramide v1: 10 u1: mg tf: [19:00:00 28/11/2016] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Acetaminophen v1: 650 u1: mg tf: [19:00:00 28/11/2016] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Oxycodone-Acetaminophen v1: 1-2 u1: TAB tf: [19:00:00 28/11/2016] pt: Unit Dose rt: PR fr: Q4H:PRN m1: Acetaminophen (Rectal) v1: 650 u1: mg
t0: [22:22:00 07/11/2016] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [22:31:00 07/11/2016] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [22:47:00 07/11/2016] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [23:08:00 07/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.26 rs: Final st: NotStopd t0: [23:08:00 07/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 267 rs: Final st: NotStopd t0: [23:08:00 07/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [23:08:00 07/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 143 rs: Final st: NotStopd t0: [23:08:00 07/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [23:08:00 07/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [23:08:00 07/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [23:08:00 07/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 71 u1: mmHg rs: Final st: NotStopd t0: [23:08:00 07/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.26 rs: Final st: NotStopd t0: [23:08:00 07/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 267 rs: Final st: NotStopd t0: [23:08:00 07/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26 u1: % rs: Final st: NotStopd t0: [23:08:00 07/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.09 rs: Final st: NotStopd t0: [23:08:00 07/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [23:08:00 07/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 143 rs: Final st: NotStopd
t0: [23:51:00 07/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [23:51:00 07/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 282 rs: Final st: NotStopd t0: [23:51:00 07/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [23:51:00 07/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [23:51:00 07/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [23:51:00 07/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [23:51:00 07/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [23:51:00 07/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [23:51:00 07/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [23:51:00 07/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 282 rs: Final st: NotStopd t0: [23:51:00 07/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 25 u1: % rs: Final st: NotStopd t0: [23:51:00 07/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.01 rs: Final st: NotStopd t0: [23:51:00 07/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [23:51:00 07/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd
id: Milrinone el: 100 cu: CSRU cg: RN io: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions am: 20 du: mcgkgmin rt: IV Drip id: Propofol el: 200 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip id: Insulin el: 100 cu: CSRU cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions am: 100 du: Uhr rt: IV Drip
id: D5W el: 1 cu: CSRU cg: RN io: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions vo: 100 du: ml rt: Intravenous Push id: N/A el: 2 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push id: .9% Normal Saline el: 1 cu: CSRU cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [00:43:00 08/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 21.4286 u1: ml/cmH st: NotStopd t0: [00:43:00 08/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [00:43:00 08/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd t0: [00:43:00 08/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [00:43:00 08/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:43:00 08/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:43:00 08/11/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [00:43:00 08/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [00:43:00 08/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [00:43:00 08/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [00:43:00 08/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [00:43:00 08/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:43:00 08/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:43:00 08/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [00:43:00 08/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:43:00 08/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:43:00 08/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:43:00 08/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:43:00 08/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:43:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 74 u1: % st: NotStopd t0: [00:43:00 08/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [00:43:00 08/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:43:00 08/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 750 u1: ml/B st: NotStopd t0: [00:43:00 08/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 750 u1: ml/B st: NotStopd t0: [00:43:00 08/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:43:00 08/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [00:43:00 08/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd
t0: [01:00:00 08/11/2016] id: Follows Commands el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 08/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 08/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 08/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 08/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 08/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 08/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [10:00:00 08/11/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 1 dn: 1 m1: Levofloxacin v1: 500 u1: mg m2: Dextrose 5% v2: 100 u2: ml
t0: [00:45:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [00:45:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.85199 u1: ... st: NotStopd t0: [00:45:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:45:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 126 u1: BPM st: NotStopd t0: [00:45:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:45:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.6696 u1: kg x m st: NotStopd t0: [00:45:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.50181 u1: ... st: NotStopd t0: [00:45:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 77.112 u1: g * m st: NotStopd t0: [00:45:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.7978 u1: g*m/m2 st: NotStopd t0: [00:45:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [00:45:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 149 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:45:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [00:45:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [00:45:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.7437 u1: ... st: NotStopd t0: [00:45:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 739.241 u1: ... st: NotStopd t0: [00:45:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2049.12 u1: ... st: NotStopd t0: [00:45:00 08/11/2016] id: Significant Events el: 0 cu: CSRU cg: RN v1: OR Received st: NotStopd t0: [00:45:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 62.6984 u1: ml st: NotStopd t0: [00:45:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:45:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:45:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.9 u1: L/min st: NotStopd t0: [01:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [01:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.06859 u1: ... st: NotStopd t0: [01:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 121 u1: BPM st: NotStopd t0: [01:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 20.1144 u1: kg x m st: NotStopd t0: [01:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 7.25632 u1: ... st: NotStopd t0: [01:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 165.648 u1: g * m st: NotStopd t0: [01:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 59.9278 u1: g*m/m2 st: NotStopd t0: [01:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [01:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 174 u1: mmHg st: NotStopd t0: [01:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.2708 u1: ... st: NotStopd t0: [01:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1477.65 u1: ... st: NotStopd t0: [01:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 4091.21 u1: ... st: NotStopd t0: [01:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 70.2479 u1: ml st: NotStopd t0: [01:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.5 u1: L/min st: NotStopd
t0: [00:45:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [00:45:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [00:45:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [00:45:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [00:45:00 08/11/2016] tf: [08:00:00 09/11/2016] dt: 1875 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 130 vu: ml t0: [00:45:00 08/11/2016] tf: [03:00:00 08/11/2016] dt: 135 id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 440 vu: ml t0: [01:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [01:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [00:45:00 08/11/2016] tf: [10:00:00 15/11/2016] dt: 10635 id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:45:00 08/11/2016] tf: [06:40:00 18/11/2016] dt: 14755 id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [00:45:00 08/11/2016] tf: [15:18:00 28/11/2016] dt: 29673 id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:45:00 08/11/2016] tf: [19:00:00 14/11/2016] dt: 9735 id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 50 su: ml rt: IV Drip t0: [01:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [01:00:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [01:00:00 08/11/2016] tf: [15:00:00 08/11/2016] dt: 840 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 8.724 vu: ml t0: [01:00:00 08/11/2016] tf: [18:00:00 08/11/2016] dt: 1020 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.75 vu: ml t0: [01:00:00 08/11/2016] tf: [15:18:00 28/11/2016] dt: 29658 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [01:00:00 08/11/2016] tf: [06:00:00 18/11/2016] dt: 14700 id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml
t0: [01:15:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [01:15:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.88809 u1: ... st: NotStopd t0: [01:15:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:15:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 116 u1: BPM st: NotStopd t0: [01:15:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:15:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.528 u1: kg x m st: NotStopd t0: [01:15:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.34657 u1: ... st: NotStopd t0: [01:15:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 56.304 u1: g * m st: NotStopd t0: [01:15:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 20.2166 u1: g*m/m2 st: NotStopd t0: [01:15:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [01:15:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:15:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [01:15:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:15:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.9097 u1: ... st: NotStopd t0: [01:15:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 450 u1: ... st: NotStopd t0: [01:15:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1245.67 u1: ... st: NotStopd t0: [01:15:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:15:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 68.9655 u1: ml st: NotStopd t0: [01:15:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:15:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:15:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8 u1: L/min st: NotStopd
t0: [01:15:00 08/11/2016] tf: [09:00:00 08/11/2016] dt: 465 id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 106 vo: 500 vu: ml t0: [01:15:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 8.724 vu: ml t0: [01:15:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.75 vu: ml t0: [01:15:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml t0: [01:15:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml
t0: [01:15:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:15:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [01:15:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:15:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [00:45:00 08/11/2016] tf: [15:18:00 28/11/2016] dt: 29673 id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml t0: [01:15:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [01:10:00 08/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.23 rs: Final st: NotStopd t0: [01:10:00 08/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [01:10:00 08/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [01:10:00 08/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [01:10:00 08/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 92 u1: mmHg rs: Final st: NotStopd t0: [01:10:00 08/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.23 rs: Final st: NotStopd
t0: [01:10:00 08/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 255 rs: Final st: NotStopd t0: [01:10:00 08/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [01:10:00 08/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 255 rs: Final st: NotStopd t0: [01:10:00 08/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 23 u1: % rs: Final st: NotStopd t0: [01:10:00 08/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.25 rs: Final st: NotStopd t0: [01:10:00 08/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd
t0: [01:10:00 08/11/2016] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.2 rs: Final st: NotStopd t0: [01:10:00 08/11/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.2 rs: Final st: NotStopd
t0: [01:15:00 08/11/2016] id: Significant Events el: 0 cu: CSRU cg: RN v1: Fluid Bolus st: NotStopd t0: [01:30:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [01:30:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.77978 u1: ... st: NotStopd t0: [01:30:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:30:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 115 u1: BPM st: NotStopd t0: [01:30:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:30:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.49264 u1: kg x m st: NotStopd t0: [01:30:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.34657 u1: ... st: NotStopd t0: [01:30:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 56.4944 u1: g * m st: NotStopd t0: [01:30:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 20.2166 u1: g*m/m2 st: NotStopd t0: [01:30:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [01:30:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:30:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [01:30:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:30:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.1877 u1: ... st: NotStopd t0: [01:30:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 446.753 u1: ... st: NotStopd t0: [01:30:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1237.41 u1: ... st: NotStopd t0: [01:30:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:30:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 66.9565 u1: ml st: NotStopd t0: [01:30:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:30:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:30:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.7 u1: L/min st: NotStopd
t0: [01:30:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 8.724 vu: ml t0: [01:30:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.75 vu: ml t0: [01:30:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [01:30:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [01:30:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [01:30:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [01:30:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:30:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [01:30:00 08/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 20.7317 u1: ml/cmH st: NotStopd t0: [01:30:00 08/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [01:30:00 08/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd t0: [01:30:00 08/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [01:30:00 08/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [01:30:00 08/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [01:30:00 08/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [01:30:00 08/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 8 st: NotStopd t0: [01:30:00 08/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [01:30:00 08/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 17 u1: L/min st: NotStopd t0: [01:30:00 08/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:30:00 08/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 46 u1: cmH2O st: NotStopd t0: [01:30:00 08/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [01:30:00 08/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [01:30:00 08/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:30:00 08/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [01:30:00 08/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [01:30:00 08/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:30:00 08/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 855 u1: ml/B st: NotStopd t0: [01:30:00 08/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 850 u1: ml/B st: NotStopd t0: [01:30:00 08/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [01:30:00 08/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [01:30:00 08/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd
t0: [01:45:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [01:45:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.70758 u1: ... st: NotStopd t0: [01:45:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [01:45:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [01:45:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [01:45:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:45:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.752 u1: kg x m st: NotStopd t0: [01:45:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.81588 u1: ... st: NotStopd t0: [01:45:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 70.2848 u1: g * m st: NotStopd t0: [01:45:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.2708 u1: g*m/m2 st: NotStopd t0: [01:45:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [01:45:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:45:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [01:45:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [01:45:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.5487 u1: ... st: NotStopd t0: [01:45:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 608 u1: ... st: NotStopd t0: [01:45:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1682.66 u1: ... st: NotStopd t0: [01:45:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 67.5676 u1: ml st: NotStopd t0: [01:45:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:45:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:45:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.5 u1: L/min st: NotStopd
t0: [01:45:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 8.724 vu: ml t0: [01:45:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.75 vu: ml t0: [01:45:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [01:45:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [01:45:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [01:45:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:45:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [01:45:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:45:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [01:46:00 08/11/2016] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [01:15:00 08/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:15:00 08/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [01:15:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [01:15:00 08/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [01:15:00 08/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [01:30:00 08/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [01:30:00 08/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [01:30:00 08/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [01:30:00 08/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [01:30:00 08/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [01:30:00 08/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate v2: H2 Blocker st: NotStopd t0: [01:30:00 08/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [01:30:00 08/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [01:30:00 08/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [01:30:00 08/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [01:30:00 08/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [01:30:00 08/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [01:30:00 08/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [01:30:00 08/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [01:30:00 08/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [01:30:00 08/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [01:30:00 08/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [01:30:00 08/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [01:30:00 08/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [01:30:00 08/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [01:30:00 08/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [01:30:00 08/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [01:30:00 08/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [01:30:00 08/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [01:30:00 08/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [01:30:00 08/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [01:30:00 08/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [01:30:00 08/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [01:30:00 08/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [01:30:00 08/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [01:30:00 08/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [01:30:00 08/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [01:30:00 08/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [01:30:00 08/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [01:30:00 08/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:30:00 08/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [01:30:00 08/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [01:30:00 08/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [01:30:00 08/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [01:30:00 08/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [01:30:00 08/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [01:30:00 08/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [01:45:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [01:45:00 08/11/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: RN v1: 61 rs: Manual st: NotStopd
t0: [01:00:00 08/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 25.4 u1: % rs: Final st: NotStopd t0: [01:00:00 08/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 160 rs: Final st: NotStopd
tf: [10:00:00 08/11/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [10:00:00 08/11/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [09:00:00 09/11/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Vancomycin HCl v1: 500 u1: mg m2: D5W v2: 150 u2: ml tf: [09:00:00 09/11/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Vancomycin HCl v1: 500 u1: mg m2: Iso-Osmotic Dextrose v2: 150 u2: ml tf: [01:00:00 10/11/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [01:00:00 08/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 13.9 rs: Final st: NotStopd t0: [01:00:00 08/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [01:00:00 08/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 34.7 rs: Final st: NotStopd t0: [01:00:00 08/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [01:00:00 08/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.9 rs: Final st: NotStopd t0: [01:00:00 08/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 34.7 rs: Final st: NotStopd
t0: [00:45:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:45:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [00:45:00 08/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN u1: Deg. C st: NotStopd t0: [00:45:00 08/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN u1: Deg. F st: NotStopd t0: [00:45:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [01:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [01:00:00 08/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN u1: Deg. C st: NotStopd t0: [01:00:00 08/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN u1: Deg. F st: NotStopd t0: [01:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [01:15:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:15:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [01:15:00 08/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN u1: Deg. C st: NotStopd t0: [01:15:00 08/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN u1: Deg. F st: NotStopd t0: [01:15:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [01:30:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:30:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [01:30:00 08/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN u1: Deg. C st: NotStopd t0: [01:30:00 08/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN u1: Deg. F st: NotStopd t0: [01:30:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [01:45:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:45:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.3 u1: Deg. C st: NotStopd t0: [01:45:00 08/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN u1: Deg. C st: NotStopd t0: [01:45:00 08/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN u1: Deg. F st: NotStopd t0: [01:45:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.34 u1: Deg. F st: NotStopd t0: [02:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [02:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.59928 u1: ... st: NotStopd t0: [02:00:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [02:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.05024 u1: kg x m st: NotStopd t0: [02:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.56318 u1: ... st: NotStopd t0: [02:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 69.5232 u1: g * m st: NotStopd t0: [02:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.2708 u1: g*m/m2 st: NotStopd t0: [02:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [02:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.6318 u1: ... st: NotStopd t0: [02:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 588.889 u1: ... st: NotStopd t0: [02:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1630.77 u1: ... st: NotStopd t0: [02:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 70.5882 u1: ml st: NotStopd t0: [02:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [02:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [02:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [02:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.2 u1: L/min st: NotStopd
t0: [01:15:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [01:30:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [01:45:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 5 vu: ml t0: [01:45:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [02:00:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 8.724 vu: ml t0: [02:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [02:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 16.3575 vu: ml t0: [02:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [02:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [02:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [02:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [02:00:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [01:15:00 08/11/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [02:00:00 08/11/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Bronchoscopy st: NotStopd t0: [02:00:00 08/11/2016] id: Significant Events el: 0 cu: CSRU cg: RN st: NotStopd
t0: [02:15:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:15:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [02:15:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.77978 u1: ... st: NotStopd t0: [02:15:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [02:15:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [02:15:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [02:15:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:15:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.53984 u1: kg x m st: NotStopd t0: [02:15:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.70758 u1: ... st: NotStopd t0: [02:15:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 71.4816 u1: g * m st: NotStopd t0: [02:15:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.6318 u1: g*m/m2 st: NotStopd t0: [02:15:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [02:15:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:15:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:15:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:15:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 26.3538 u1: ... st: NotStopd t0: [02:15:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 550.649 u1: ... st: NotStopd t0: [02:15:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1525.18 u1: ... st: NotStopd t0: [02:15:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:15:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 73.3333 u1: ml st: NotStopd t0: [02:15:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [02:15:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:15:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.3 u1: Deg. C st: NotStopd t0: [02:15:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.34 u1: Deg. F st: NotStopd t0: [02:15:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:15:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.7 u1: L/min st: NotStopd
t0: [02:15:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 8.724 vu: ml t0: [02:15:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [02:15:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 16.3575 vu: ml t0: [02:15:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [02:15:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [02:15:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [02:15:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [02:15:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:15:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [02:15:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:15:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [00:45:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:45:00 08/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [00:45:00 08/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:45:00 08/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [00:45:00 08/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [01:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [01:00:00 08/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [01:00:00 08/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [01:00:00 08/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [01:00:00 08/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: Bleeding st: NotStopd t0: [01:00:00 08/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [01:00:00 08/11/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [01:00:00 08/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [01:00:00 08/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [01:00:00 08/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [01:00:00 08/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [01:30:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [01:45:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [02:15:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [02:15:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 0 vu: ml
t0: [02:30:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:30:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [02:30:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.63538 u1: ... st: NotStopd t0: [02:30:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [02:30:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [02:30:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [02:30:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:30:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.84312 u1: kg x m st: NotStopd t0: [02:30:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.81588 u1: ... st: NotStopd t0: [02:30:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 79.5056 u1: g * m st: NotStopd t0: [02:30:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.8809 u1: g*m/m2 st: NotStopd t0: [02:30:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [02:30:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [02:30:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [02:30:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:30:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 26.7148 u1: ... st: NotStopd t0: [02:30:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 646.575 u1: ... st: NotStopd t0: [02:30:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1787.88 u1: ... st: NotStopd t0: [02:30:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:30:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 74.4898 u1: ml st: NotStopd t0: [02:30:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [02:30:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:30:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [02:30:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [02:30:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:30:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.3 u1: L/min st: NotStopd
t0: [02:30:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 8.724 vu: ml t0: [02:30:00 08/11/2016] tf: [15:18:00 28/11/2016] dt: 29568 id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 2.5 vu: ml t0: [02:30:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [02:30:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 16.3575 vu: ml t0: [02:30:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [02:30:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [02:30:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [02:30:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:30:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [02:30:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:30:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 08/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [02:00:00 08/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [02:00:00 08/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [02:00:00 08/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [02:00:00 08/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT st: NotStopd
t0: [02:45:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:45:00 08/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [02:45:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [02:45:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.20217 u1: ... st: NotStopd t0: [02:45:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [02:45:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [02:45:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [02:45:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:45:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.89016 u1: kg x m st: NotStopd t0: [02:45:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.12996 u1: ... st: NotStopd t0: [02:45:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 61.7984 u1: g * m st: NotStopd t0: [02:45:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.3827 u1: g*m/m2 st: NotStopd t0: [02:45:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [02:45:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:45:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [02:45:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:45:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.1047 u1: ... st: NotStopd t0: [02:45:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 655.738 u1: ... st: NotStopd t0: [02:45:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1818.18 u1: ... st: NotStopd t0: [02:45:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:45:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 63.5417 u1: ml st: NotStopd t0: [02:45:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 58 u1: % st: NotStopd t0: [02:45:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:45:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [02:45:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [02:45:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:45:00 08/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:45:00 08/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [02:45:00 08/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [02:45:00 08/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 194 u1: mmHg rs: Final st: NotStopd t0: [02:45:00 08/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [02:45:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [02:45:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 8.724 vu: ml t0: [02:45:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 2.5 vu: ml t0: [02:45:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [02:45:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 13.6313 vu: ml t0: [02:45:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [02:45:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [02:45:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [02:45:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:45:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [02:45:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 08/11/2016] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: RN pv: 250 cv: 3287 ap: none
t0: [02:45:00 08/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 221 rs: Final st: NotStopd t0: [02:45:00 08/11/2016] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [02:45:00 08/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [02:45:00 08/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 221 rs: Final st: NotStopd t0: [02:45:00 08/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.27 rs: Final st: NotStopd t0: [02:45:00 08/11/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [02:45:00 08/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [02:45:00 08/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [02:45:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 9 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [03:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [03:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.31047 u1: ... st: NotStopd t0: [03:00:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [03:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.17984 u1: kg x m st: NotStopd t0: [03:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.23827 u1: ... st: NotStopd t0: [03:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 63.7296 u1: g * m st: NotStopd t0: [03:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.1047 u1: g*m/m2 st: NotStopd t0: [03:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [03:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [03:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [03:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.8267 u1: ... st: NotStopd t0: [03:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 612.5 u1: ... st: NotStopd t0: [03:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1696.97 u1: ... st: NotStopd t0: [03:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 65.9794 u1: ml st: NotStopd t0: [03:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 56 u1: % st: NotStopd t0: [03:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [03:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [03:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.4 u1: L/min st: NotStopd
t0: [03:00:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 8.724 vu: ml t0: [03:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 2.5 vu: ml t0: [03:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2.25 vu: ml t0: [03:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 13.6313 vu: ml t0: [03:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [03:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [03:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [03:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [03:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:00:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 9 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 08/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 80 cv: 80 ap: none t0: [23:00:00 08/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 307.43 cv: 307.43 ap: none t0: [23:00:00 08/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 77.43 cv: 3811.71 ap: none t0: [23:00:00 08/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 387.43 cv: 24350.7 ap: none t0: [23:00:00 08/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 15 cv: 2455 ap: none t0: [23:00:00 08/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 307.43 cv: 16760.7 ap: none t0: [23:00:00 08/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 80 cv: 7590 ap: none t0: [23:00:00 08/11/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN pv: 65 cv: 2035 ap: none t0: [23:00:00 08/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 307.43 cv: 16760.7 ap: none
t0: [01:30:00 08/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [01:30:00 08/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Moderate st: NotStopd t0: [01:30:00 08/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:30:00 08/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [01:30:00 08/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [01:30:00 08/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [01:30:00 08/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [01:30:00 08/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [01:30:00 08/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [01:30:00 08/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN st: NotStopd t0: [01:30:00 08/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [01:30:00 08/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [01:30:00 08/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [01:30:00 08/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [01:30:00 08/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [01:30:00 08/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [01:30:00 08/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [01:30:00 08/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [01:30:00 08/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [02:30:00 08/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd
t0: [03:00:00 08/11/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: RN v1: 61 rs: Manual st: NotStopd t0: [03:15:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:15:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [03:15:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.38267 u1: ... st: NotStopd t0: [03:15:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [03:15:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [03:15:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [03:15:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:15:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.3856 u1: kg x m st: NotStopd t0: [03:15:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.94946 u1: ... st: NotStopd t0: [03:15:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 57.12 u1: g * m st: NotStopd t0: [03:15:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 20.5776 u1: g*m/m2 st: NotStopd t0: [03:15:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 50 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [03:15:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [03:15:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [03:15:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:15:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.2708 u1: ... st: NotStopd t0: [03:15:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 521.212 u1: ... st: NotStopd t0: [03:15:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1445.38 u1: ... st: NotStopd t0: [03:15:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:15:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 70.2128 u1: ml st: NotStopd t0: [03:15:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [03:15:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:15:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [03:15:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [03:15:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:15:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.6 u1: L/min st: NotStopd
t0: [03:15:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:15:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:15:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:15:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 9 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [03:00:00 08/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.7 u1: torr st: NotStopd
t0: [03:15:00 08/11/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: EKG st: NotStopd
t0: [03:30:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:30:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [03:30:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.34657 u1: ... st: NotStopd t0: [03:30:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [03:30:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [03:30:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [03:30:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:30:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.746 u1: kg x m st: NotStopd t0: [03:30:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.05776 u1: ... st: NotStopd t0: [03:30:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 59.228 u1: g * m st: NotStopd t0: [03:30:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 21.2996 u1: g*m/m2 st: NotStopd t0: [03:30:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [03:30:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:30:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [03:30:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:30:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.1877 u1: ... st: NotStopd t0: [03:30:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 566.154 u1: ... st: NotStopd t0: [03:30:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1565.96 u1: ... st: NotStopd t0: [03:30:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:30:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 67.0103 u1: ml st: NotStopd t0: [03:30:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [03:30:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:30:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [03:30:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [03:30:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:30:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [03:30:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 17.448 vu: ml t0: [03:30:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [03:30:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4.5 vu: ml t0: [03:30:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 27.2625 vu: ml t0: [03:30:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [03:30:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [03:30:00 08/11/2016] tf: [21:00:00 08/11/2016] dt: 1050 id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [03:30:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:30:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:30:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 9 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [03:37:00 08/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [03:37:00 08/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 207 rs: Final st: NotStopd t0: [03:37:00 08/11/2016] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [03:37:00 08/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [03:37:00 08/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [03:37:00 08/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [03:37:00 08/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 118 u1: mmHg rs: Final st: NotStopd t0: [03:37:00 08/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [03:37:00 08/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 207 rs: Final st: NotStopd t0: [03:37:00 08/11/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd
t0: [04:00:00 08/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 23.6111 u1: ml/cmH st: NotStopd t0: [04:00:00 08/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [04:00:00 08/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:00:00 08/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [04:00:00 08/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 08/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 08/11/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 08/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [04:00:00 08/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 8 st: NotStopd t0: [04:00:00 08/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:00:00 08/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 16.4 u1: L/min st: NotStopd t0: [04:00:00 08/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 08/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 41 u1: cmH2O st: NotStopd t0: [04:00:00 08/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [04:00:00 08/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 08/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 08/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 08/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 08/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:00:00 08/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 830 u1: ml/B st: NotStopd t0: [04:00:00 08/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 850 u1: ml/B st: NotStopd t0: [04:00:00 08/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 08/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [04:00:00 08/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd
t0: [04:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [04:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.09386 u1: ... st: NotStopd t0: [04:00:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [04:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [04:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.89056 u1: kg x m st: NotStopd t0: [04:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.76895 u1: ... st: NotStopd t0: [04:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 49.7488 u1: g * m st: NotStopd t0: [04:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 18.0505 u1: g*m/m2 st: NotStopd t0: [04:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 52 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [04:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [04:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 21.2996 u1: ... st: NotStopd t0: [04:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 579.31 u1: ... st: NotStopd t0: [04:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1607.66 u1: ... st: NotStopd t0: [04:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.1837 u1: ml st: NotStopd t0: [04:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [04:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [04:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [04:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [04:00:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 17.448 vu: ml t0: [04:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [04:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4.5 vu: ml t0: [04:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 32.715 vu: ml t0: [04:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [04:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [04:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [04:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [04:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [04:00:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [04:15:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:15:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [04:15:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.23827 u1: ... st: NotStopd t0: [04:15:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:15:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [04:15:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:15:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.0592 u1: kg x m st: NotStopd t0: [04:15:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.84116 u1: ... st: NotStopd t0: [04:15:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 49.776 u1: g * m st: NotStopd t0: [04:15:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 18.0505 u1: g*m/m2 st: NotStopd t0: [04:15:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 49 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [04:15:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [04:15:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [04:15:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:15:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.0217 u1: ... st: NotStopd t0: [04:15:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 516.129 u1: ... st: NotStopd t0: [04:15:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1428.57 u1: ... st: NotStopd t0: [04:15:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:15:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61.3861 u1: ml st: NotStopd t0: [04:15:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 59 u1: % st: NotStopd t0: [04:15:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:15:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [04:15:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [04:15:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:15:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [04:15:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.14 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:15:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [04:15:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:15:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [03:30:00 08/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 5.8 rs: Final st: NotStopd t0: [03:30:00 08/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 5.8 rs: Final st: NotStopd t0: [03:30:00 08/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28.1 u1: % rs: Final st: NotStopd t0: [03:30:00 08/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [03:30:00 08/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [03:30:00 08/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.35 u1: /mic l rs: Final st: NotStopd t0: [03:30:00 08/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 5.8 rs: Final st: NotStopd t0: [03:37:00 08/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.2338 u1: ml/dl st: NotStopd t0: [03:37:00 08/11/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 845 u1: ml/min st: NotStopd t0: [03:37:00 08/11/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 305.5 u1: ml/m/m st: NotStopd t0: [03:37:00 08/11/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 845 u1: ml/min st: NotStopd t0: [03:37:00 08/11/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 305.054 u1: ml/m/m st: NotStopd t0: [03:37:00 08/11/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 845 u1: ml/min st: NotStopd t0: [03:37:00 08/11/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 305.054 u1: ml/m/m st: NotStopd
t0: [04:30:00 08/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 187 rs: Manual st: NotStopd t0: [04:30:00 08/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 187 rs: Manual st: NotStopd
t0: [04:30:00 08/11/2016] id: ACT Coags el: 0 cu: CSRU cg: RN v1: 149 rs: Manual st: NotStopd t0: [04:30:00 08/11/2016] id: ACT (102-142) Coags el: 0 cu: CSRU cg: RN v1: 149 rs: Manual st: NotStopd
t0: [04:30:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:30:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [04:30:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.16606 u1: ... st: NotStopd t0: [04:30:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:30:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [04:30:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:30:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.9776 u1: kg x m st: NotStopd t0: [04:30:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.80505 u1: ... st: NotStopd t0: [04:30:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 48.9464 u1: g * m st: NotStopd t0: [04:30:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 17.6895 u1: g*m/m2 st: NotStopd t0: [04:30:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 49 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [04:30:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:30:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [04:30:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:30:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 21.2996 u1: ... st: NotStopd t0: [04:30:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 560 u1: ... st: NotStopd t0: [04:30:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1548.39 u1: ... st: NotStopd t0: [04:30:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [04:30:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.4059 u1: ml st: NotStopd t0: [04:30:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [04:30:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:30:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [04:30:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [04:30:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:30:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [04:30:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 17.448 vu: ml t0: [04:30:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [04:30:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [04:30:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 35.4412 vu: ml t0: [04:30:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [04:30:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [04:30:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [04:30:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.14 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:30:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [04:30:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:30:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [04:43:00 08/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 197 rs: Final st: NotStopd t0: [04:43:00 08/11/2016] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.9 rs: Final st: NotStopd t0: [04:43:00 08/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 197 rs: Final st: NotStopd t0: [04:43:00 08/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30 u1: % rs: Final st: NotStopd t0: [04:43:00 08/11/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.9 rs: Final st: NotStopd
t0: [00:00:00 08/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 08/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 08/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 08/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [02:00:00 08/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 08/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 08/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 08/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 08/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 08/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 08/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 08/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 08/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [04:00:00 08/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate v2: H2 Blocker st: NotStopd t0: [04:00:00 08/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 08/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 08/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 08/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 08/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 08/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 08/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 08/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 08/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 08/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [04:00:00 08/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 08/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 08/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 08/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 08/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 08/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 08/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [04:00:00 08/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [04:00:00 08/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [04:00:00 08/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 08/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 08/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 08/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 08/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 08/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 08/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 08/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 08/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 08/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [04:00:00 08/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [04:00:00 08/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 08/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 08/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 08/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [03:30:00 08/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [03:30:00 08/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [03:30:00 08/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [03:30:00 08/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 206 rs: Final st: NotStopd t0: [03:30:00 08/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [03:30:00 08/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [03:30:00 08/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [03:30:00 08/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [03:30:00 08/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [03:30:00 08/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 206 rs: Final st: NotStopd t0: [03:30:00 08/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd
t0: [04:00:00 08/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 08/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [04:00:00 08/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 08/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [04:00:00 08/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: Bleeding st: NotStopd t0: [04:00:00 08/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 08/11/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 08/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [04:00:00 08/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 08/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 08/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Moderate st: NotStopd t0: [04:00:00 08/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 08/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 08/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 08/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 08/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 08/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 08/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 08/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 08/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 08/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 08/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd
t0: [05:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [05:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.27437 u1: ... st: NotStopd t0: [05:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [05:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.22648 u1: kg x m st: NotStopd t0: [05:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.87726 u1: ... st: NotStopd t0: [05:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 50.6056 u1: g * m st: NotStopd t0: [05:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 18.4116 u1: g*m/m2 st: NotStopd t0: [05:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 51 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [05:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [05:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [05:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.0217 u1: ... st: NotStopd t0: [05:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 520.635 u1: ... st: NotStopd t0: [05:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1444.93 u1: ... st: NotStopd t0: [05:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61.165 u1: ml st: NotStopd t0: [05:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [05:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [05:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [05:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.3 u1: L/min st: NotStopd
t0: [05:00:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 17.448 vu: ml t0: [05:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [05:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [05:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 38.1675 vu: ml t0: [05:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [05:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [05:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [05:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [05:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.14 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [05:00:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 08/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN st: NotStopd t0: [04:00:00 08/11/2016] id: HOB el: 0 cu: CSRU cg: RN st: NotStopd t0: [04:00:00 08/11/2016] id: Activity el: 0 cu: CSRU cg: RN st: NotStopd t0: [04:00:00 08/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN st: NotStopd t0: [04:00:00 08/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN st: NotStopd t0: [04:00:00 08/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN st: NotStopd t0: [04:00:00 08/11/2016] id: Turn el: 0 cu: CSRU cg: RN st: NotStopd t0: [05:00:00 08/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [05:00:00 08/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 08/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Poor st: NotStopd t0: [05:00:00 08/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 08/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [05:00:00 08/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 08/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 08/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 08/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 08/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 08/11/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd
t0: [06:00:00 08/11/2016] id: Edema Location/Amt#1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 08/11/2016] id: Imp Skin Cleanse #2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 08/11/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 08/11/2016] id: ImpSkin Character #2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 08/11/2016] id: ImpSkin Character #3 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 08/11/2016] id: ImpSkin Drain/Amt#2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 08/11/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 08/11/2016] id: ImpSkin Treatment #2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 08/11/2016] id: ImpSkin Treatment #3 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 08/11/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 08/11/2016] id: ImpSkin Wound Base#2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 08/11/2016] id: ImpSkin Wound Base#3 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 08/11/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 08/11/2016] id: Impaired Skin Site#2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 08/11/2016] id: Impaired Skin Site#3 el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [10:00:00 08/11/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 6 dn: 1 m1: Protamine Sulfate v1: 50 u1: mg m2: NS v2: 50 u2: ml
id: Fresh Frozen Plasma el: 1 cu: CSRU cg: RN io: Fresh Frozen Plasma IV Infusions du: ml rt: Intravenous Push
t0: [06:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [06:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.34657 u1: ... st: NotStopd t0: [06:00:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [06:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [06:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.0388 u1: kg x m st: NotStopd t0: [06:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.80505 u1: ... st: NotStopd t0: [06:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 51.1632 u1: g * m st: NotStopd t0: [06:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 18.4116 u1: g*m/m2 st: NotStopd t0: [06:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 46 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [06:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [06:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [06:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.8267 u1: ... st: NotStopd t0: [06:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 467.692 u1: ... st: NotStopd t0: [06:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1293.62 u1: ... st: NotStopd t0: [06:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 65.6566 u1: ml st: NotStopd t0: [06:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [06:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [06:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [06:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [06:00:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 34.896 vu: ml t0: [06:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 12 vu: ml t0: [06:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 76.335 vu: ml t0: [06:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [06:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [06:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [06:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 15 vu: ml
t0: [06:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [06:00:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 08/11/2016] tf: [15:00:00 09/11/2016] dt: 1980 id: Fresh Frozen Plasma IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 311 vu: ml
t0: [06:14:00 08/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [06:14:00 08/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.4936 u1: ml/dl st: NotStopd t0: [06:14:00 08/11/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 845 u1: ml/min st: NotStopd t0: [06:14:00 08/11/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 305.5 u1: ml/m/m st: NotStopd t0: [06:14:00 08/11/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 845 u1: ml/min st: NotStopd t0: [06:14:00 08/11/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 305.054 u1: ml/m/m st: NotStopd t0: [06:14:00 08/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 164 rs: Final st: NotStopd t0: [06:14:00 08/11/2016] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 6.9 rs: Final st: NotStopd t0: [06:14:00 08/11/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 845 u1: ml/min st: NotStopd t0: [06:14:00 08/11/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 305.054 u1: ml/m/m st: NotStopd t0: [06:14:00 08/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [06:14:00 08/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [06:14:00 08/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [06:14:00 08/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 159 u1: mmHg rs: Final st: NotStopd t0: [06:14:00 08/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [06:14:00 08/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 164 rs: Final st: NotStopd t0: [06:14:00 08/11/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 6.9 rs: Final st: NotStopd t0: [06:14:00 08/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [03:30:00 08/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 4.1 rs: Final st: NotStopd t0: [03:30:00 08/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.1 rs: Final st: NotStopd t0: [06:00:00 08/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 08/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [06:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 08/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [06:00:00 08/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [06:00:00 08/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [06:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [06:00:00 08/11/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.94295 u1: m2 st: NotStopd t0: [06:00:00 08/11/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 2.24635 u1: m2 st: NotStopd t0: [06:00:00 08/11/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [06:00:00 08/11/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd
t0: [00:30:00 08/11/2016] tf: [09:00:00 08/11/2016] dt: 510 id: OR Crystalloid OR Intake el: 1 cu: CSRU cg: RN ai: 109 vo: 5000 vu: ml t0: [00:30:00 08/11/2016] tf: [09:00:00 08/11/2016] dt: 510 id: OR Out PACU Urine el: 1 cu: CSRU cg: RN vo: 3000 vu: ml t0: [05:00:00 08/11/2016] tf: [12:00:00 18/11/2016] dt: 14820 id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [06:00:00 08/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
t0: [04:00:00 08/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [04:00:00 08/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [06:00:00 08/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [06:00:00 08/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [06:15:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:15:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [06:15:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [06:15:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [06:15:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [06:15:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:15:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 52 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [06:15:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:15:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [06:15:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [06:15:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:15:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:15:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:15:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [06:15:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [06:15:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:15:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:15:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [06:15:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:15:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 15 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [01:30:00 08/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [01:30:00 08/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd
t0: [02:00:00 08/11/2016] id: PresSoreStage/Heal#1 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [02:00:00 08/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [02:00:00 08/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [02:00:00 08/11/2016] id: PressSore Drng/Amt#1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [02:00:00 08/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [02:00:00 08/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [02:00:00 08/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [02:00:00 08/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [02:00:00 08/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [02:00:00 08/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 08/11/2016] id: PresSoreStage/Heal#1 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [04:00:00 08/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [04:00:00 08/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [04:00:00 08/11/2016] id: PressSore Drng/Amt#1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [04:00:00 08/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [04:00:00 08/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 08/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 08/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 08/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [04:00:00 08/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Left st: NotStopd t0: [04:00:00 08/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 08/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd
t0: [06:30:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 17.448 vu: ml t0: [06:30:00 08/11/2016] id: Fresh Frozen Plasma IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 278 vu: ml t0: [06:30:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [06:30:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6.75 vu: ml t0: [06:30:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 40.8937 vu: ml t0: [06:30:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml
t0: [06:17:00 08/11/2016] id: Fibrinogen Coags el: 0 cu: CSRU cg: 3161 v1: 325 rs: Final st: NotStopd t0: [06:17:00 08/11/2016] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 325 rs: Final st: NotStopd
t0: [07:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [07:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.34657 u1: ... st: NotStopd t0: [07:00:00 08/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 165 rs: Manual st: NotStopd t0: [07:00:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [07:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [07:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [07:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.2764 u1: kg x m st: NotStopd t0: [07:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.27437 u1: ... st: NotStopd t0: [07:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 60.8328 u1: g * m st: NotStopd t0: [07:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.0217 u1: g*m/m2 st: NotStopd t0: [07:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [07:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [07:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [07:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [07:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.7437 u1: ... st: NotStopd t0: [07:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 566.154 u1: ... st: NotStopd t0: [07:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1565.96 u1: ... st: NotStopd t0: [07:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 63.1068 u1: ml st: NotStopd t0: [07:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [07:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [07:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [07:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 08/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 165 rs: Manual st: NotStopd t0: [07:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [07:00:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 17.448 vu: ml t0: [07:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [07:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 7.5 vu: ml t0: [07:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 40.8937 vu: ml t0: [07:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [07:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [07:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [07:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [07:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [07:00:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:00:00 08/11/2016] id: Fresh Frozen Plasma IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 263 vu: ml
t0: [07:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 08/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [06:00:00 08/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd
t0: [08:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [08:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.63538 u1: ... st: NotStopd t0: [08:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Sedated st: NotStopd t0: [08:00:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [08:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.55248 u1: kg x m st: NotStopd t0: [08:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.38267 u1: ... st: NotStopd t0: [08:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 64.6272 u1: g * m st: NotStopd t0: [08:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.4657 u1: g*m/m2 st: NotStopd t0: [08:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [08:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [08:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [08:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.9928 u1: ... st: NotStopd t0: [08:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 493.151 u1: ... st: NotStopd t0: [08:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1363.64 u1: ... st: NotStopd t0: [08:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 72.2772 u1: ml st: NotStopd t0: [08:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [08:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [08:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [08:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.3 u1: L/min st: NotStopd
t0: [08:00:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 34.896 vu: ml t0: [08:00:00 08/11/2016] id: Fresh Frozen Plasma IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 310 vu: ml t0: [08:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [08:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 16 vu: ml t0: [08:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 81.7875 vu: ml t0: [08:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [08:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [08:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [08:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [08:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [08:00:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [08:30:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:30:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [08:30:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.59928 u1: ... st: NotStopd t0: [08:30:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Sedated st: NotStopd t0: [08:30:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:30:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [08:30:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.95232 u1: kg x m st: NotStopd t0: [08:30:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.52708 u1: ... st: NotStopd t0: [08:30:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 68.5576 u1: g * m st: NotStopd t0: [08:30:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.9097 u1: g*m/m2 st: NotStopd t0: [08:30:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [08:30:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:30:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [08:30:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:30:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [08:30:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:30:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.6318 u1: ... st: NotStopd t0: [08:30:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 555.556 u1: ... st: NotStopd t0: [08:30:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1538.46 u1: ... st: NotStopd t0: [08:30:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:30:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 71.2871 u1: ml st: NotStopd t0: [08:30:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [08:30:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:30:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [08:30:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [08:30:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:30:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.2 u1: L/min st: NotStopd
t0: [08:30:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [08:30:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:30:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Junctional st: NotStopd t0: [08:30:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:30:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:30:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Junctional st: NotStopd t0: [08:45:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:45:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [08:45:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.56318 u1: ... st: NotStopd t0: [08:45:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:45:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Sedated st: NotStopd t0: [08:45:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:45:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:45:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:45:00 08/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Fam Talked to RN st: NotStopd t0: [08:45:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [08:45:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Junctional st: NotStopd t0: [08:45:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.85576 u1: kg x m st: NotStopd t0: [08:45:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.49097 u1: ... st: NotStopd t0: [08:45:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 67.592 u1: g * m st: NotStopd t0: [08:45:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.5487 u1: g*m/m2 st: NotStopd t0: [08:45:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [08:45:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:45:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [08:45:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:45:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [08:45:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:45:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.2708 u1: ... st: NotStopd t0: [08:45:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 552.113 u1: ... st: NotStopd t0: [08:45:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1531.25 u1: ... st: NotStopd t0: [08:45:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:45:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 70.297 u1: ml st: NotStopd t0: [08:45:00 08/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:45:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [08:45:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:45:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [08:45:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [08:45:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:45:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.1 u1: L/min st: NotStopd
t0: [08:45:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:45:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [08:45:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:45:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [00:45:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:45:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:15:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:15:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 08/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 22.3684 u1: ml/cmH st: NotStopd t0: [08:00:00 08/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [08:00:00 08/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 08/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 08/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 08/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [08:00:00 08/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 8 st: NotStopd t0: [08:00:00 08/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13.1 u1: L/min st: NotStopd t0: [08:00:00 08/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 43 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 42 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 08/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 08/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 08/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 08/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 810 u1: ml/B st: NotStopd t0: [08:00:00 08/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 850 u1: ml/B st: NotStopd t0: [08:00:00 08/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:00:00 08/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [08:00:00 08/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd
t0: [01:30:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:45:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:45:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:45:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:15:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:15:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:30:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:30:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:45:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:45:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:15:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:15:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:30:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:30:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:15:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:15:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:30:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:30:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:15:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:15:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd
t0: [00:30:00 08/11/2016] tf: [09:00:00 08/11/2016] dt: 510 id: OR Colloid OR Intake el: 1 cu: CSRU cg: RN ai: 123 vo: 12112 vu: ml
t0: [09:00:00 08/11/2016] id: Cartridge/Bag Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 08/11/2016] id: Initials (2 RNs) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 08/11/2016] id: Med Wasted/Amt el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [09:00:00 08/11/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: -1 ai: 106 vo: 0 st: D/C'd t0: [09:00:00 08/11/2016] id: OR Colloid OR Intake el: 1 cu: CSRU cg: -1 ai: 123 vo: 0 st: D/C'd t0: [09:00:00 08/11/2016] id: OR Crystalloid OR Intake el: 1 cu: CSRU cg: -1 ai: 109 vo: 0 st: D/C'd t0: [09:00:00 08/11/2016] id: OR Out PACU Urine el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [09:01:00 08/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd t0: [09:01:00 08/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd
t0: [09:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [09:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.41877 u1: ... st: NotStopd t0: [09:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Sedated st: NotStopd t0: [09:00:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 08/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [09:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [09:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Junctional st: NotStopd t0: [09:00:00 08/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 08/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Poor st: NotStopd t0: [09:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.10504 u1: kg x m st: NotStopd t0: [09:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.20217 u1: ... st: NotStopd t0: [09:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 61.0504 u1: g * m st: NotStopd t0: [09:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.0217 u1: g*m/m2 st: NotStopd t0: [09:00:00 08/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [09:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [09:00:00 08/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [09:00:00 08/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [09:00:00 08/11/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [09:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.1877 u1: ... st: NotStopd t0: [09:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 489.552 u1: ... st: NotStopd t0: [09:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1355.37 u1: ... st: NotStopd t0: [09:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 67 u1: ml st: NotStopd t0: [09:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 59 u1: % st: NotStopd t0: [09:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.8 u1: Deg. C st: NotStopd t0: [09:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.04 u1: Deg. F st: NotStopd t0: [09:00:00 08/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [09:00:00 08/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.7 u1: L/min st: NotStopd t0: [09:01:00 08/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 4.2 rs: Final st: NotStopd t0: [09:01:00 08/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.2 rs: Final st: NotStopd
t0: [09:00:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 34.896 vu: ml t0: [09:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 16 vu: ml t0: [09:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 81.7875 vu: ml t0: [09:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [09:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [09:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [09:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [09:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [09:00:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [09:30:00 08/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
t0: [09:30:00 08/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:30:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [09:00:00 08/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Grimace Scale st: NotStopd t0: [09:00:00 08/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [09:00:00 08/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 08/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [09:00:00 08/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: Bleeding st: NotStopd t0: [09:00:00 08/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [09:00:00 08/11/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 08/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [09:00:00 08/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [09:00:00 08/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 08/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 08/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd
t0: [08:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd
tf: [10:00:00 08/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [09:00:00 08/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [09:00:00 08/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [09:00:00 08/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [09:00:00 08/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 08/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [09:00:00 08/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [09:00:00 08/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [09:00:00 08/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate v2: H2 Blocker st: NotStopd t0: [09:00:00 08/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [09:00:00 08/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [09:00:00 08/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [09:00:00 08/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 4 u1: points st: NotStopd t0: [09:00:00 08/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [09:00:00 08/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [09:00:00 08/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [09:00:00 08/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 08/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [09:00:00 08/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [09:00:00 08/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [09:00:00 08/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 08/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [09:00:00 08/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [09:00:00 08/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [09:00:00 08/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [09:00:00 08/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [09:00:00 08/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [09:00:00 08/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [09:00:00 08/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [09:00:00 08/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [09:00:00 08/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 08/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [09:00:00 08/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [09:00:00 08/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [09:00:00 08/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [09:00:00 08/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [09:00:00 08/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 08/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [09:00:00 08/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [09:00:00 08/11/2016] id: PressSore Drng/Amt#1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 08/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [09:00:00 08/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [09:00:00 08/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [09:00:00 08/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [09:00:00 08/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [09:00:00 08/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [09:00:00 08/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [09:00:00 08/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [09:00:00 08/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 08/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [09:00:00 08/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [09:00:00 08/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [09:00:00 08/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [09:00:00 08/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 08/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [09:00:00 08/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [09:00:00 08/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [09:00:00 08/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [09:00:00 08/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [09:00:00 08/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [09:00:00 08/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [09:00:00 08/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [09:00:00 08/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [09:00:00 08/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [09:00:00 08/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 10 u1: number st: NotStopd t0: [09:00:00 08/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Comp. Limited st: NotStopd t0: [09:00:00 08/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [09:00:00 08/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [09:00:00 08/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [09:00:00 08/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [09:00:00 08/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [10:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [10:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.03249 u1: ... st: NotStopd t0: [10:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Sedated st: NotStopd t0: [10:00:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 08/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 99 rs: Manual st: NotStopd t0: [10:00:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [10:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Junctional st: NotStopd t0: [10:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.568 u1: kg x m st: NotStopd t0: [10:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.10469 u1: ... st: NotStopd t0: [10:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 82.62 u1: g * m st: NotStopd t0: [10:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 29.9639 u1: g*m/m2 st: NotStopd t0: [10:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [10:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [10:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [10:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 29.2419 u1: ... st: NotStopd t0: [10:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 476.19 u1: ... st: NotStopd t0: [10:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1320.13 u1: ... st: NotStopd t0: [10:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 80.7692 u1: ml st: NotStopd t0: [10:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [10:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [10:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [10:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 08/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 99 rs: Manual st: NotStopd t0: [10:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.4 u1: L/min st: NotStopd
t0: [10:00:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 34.896 vu: ml t0: [10:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [10:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [10:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 81.7875 vu: ml t0: [10:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [10:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [10:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [10:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [10:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.14 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [10:00:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:00:00 08/11/2016] id: PresSoreStage/Heal#1 el: 0 cu: CSRU cg: RN v1: Other/Remarks v2: No st: NotStopd
t0: [10:30:00 08/11/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [10:45:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:45:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [10:45:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.92419 u1: ... st: NotStopd t0: [10:45:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:45:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [10:45:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:45:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:45:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:45:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [10:45:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Junctional st: NotStopd t0: [10:45:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.70264 u1: kg x m st: NotStopd t0: [10:45:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.14079 u1: ... st: NotStopd t0: [10:45:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 83.8032 u1: g * m st: NotStopd t0: [10:45:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.3249 u1: g*m/m2 st: NotStopd t0: [10:45:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [10:45:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [10:45:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [10:45:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:45:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [10:45:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:45:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.1588 u1: ... st: NotStopd t0: [10:45:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 523.457 u1: ... st: NotStopd t0: [10:45:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1452.05 u1: ... st: NotStopd t0: [10:45:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [10:45:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 77.8846 u1: ml st: NotStopd t0: [10:45:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [10:45:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:45:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [10:45:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [10:45:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:45:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.1 u1: L/min st: NotStopd
t0: [10:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip t0: [10:45:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.13 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:45:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [10:45:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:45:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [11:00:00 08/11/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [11:00:00 08/11/2016] id: INV Line#3 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [11:00:00 08/11/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [11:00:00 08/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [11:00:00 08/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [11:00:00 08/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [08:00:00 14/11/2016] pt: IV Piggyback rt: IV fr: Q4H fs: 0, 4, 8, 12, 16, 20 dn: 6 m1: Ampicillin Sodium v1: 2 u1: gm m2: NS v2: 100 u2: ml
t0: [11:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [11:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.96029 u1: ... st: NotStopd t0: [11:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [11:00:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [11:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Junctional st: NotStopd t0: [11:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.69856 u1: kg x m st: NotStopd t0: [11:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.14079 u1: ... st: NotStopd t0: [11:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 84.864 u1: g * m st: NotStopd t0: [11:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.6859 u1: g*m/m2 st: NotStopd t0: [11:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [11:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [11:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [11:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [11:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.8809 u1: ... st: NotStopd t0: [11:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 507.317 u1: ... st: NotStopd t0: [11:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1405.41 u1: ... st: NotStopd t0: [11:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 79.6117 u1: ml st: NotStopd t0: [11:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [11:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [11:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [11:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.2 u1: L/min st: NotStopd
t0: [11:00:00 08/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [11:00:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 26.172 vu: ml t0: [11:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [11:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [11:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 74.9719 vu: ml t0: [11:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [11:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [11:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml t0: [11:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [11:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [11:00:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [11:15:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:15:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [11:15:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.88809 u1: ... st: NotStopd t0: [11:15:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:15:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:15:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:15:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [11:15:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Junctional st: NotStopd t0: [11:15:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.704 u1: kg x m st: NotStopd t0: [11:15:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.14079 u1: ... st: NotStopd t0: [11:15:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 83.776 u1: g * m st: NotStopd t0: [11:15:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.3249 u1: g*m/m2 st: NotStopd t0: [11:15:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [11:15:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [11:15:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [11:15:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:15:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [11:15:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:15:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.7978 u1: ... st: NotStopd t0: [11:15:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 540 u1: ... st: NotStopd t0: [11:15:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1494.81 u1: ... st: NotStopd t0: [11:15:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:15:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 76.9231 u1: ml st: NotStopd t0: [11:15:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [11:15:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:15:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8 u1: L/min st: NotStopd
t0: [11:15:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:15:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [11:15:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:15:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [09:00:00 08/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [11:32:00 08/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [11:32:00 08/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [11:32:00 08/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [11:32:00 08/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [11:32:00 08/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [11:32:00 08/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd
t0: [11:32:00 08/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.1346 u1: ml/dl st: NotStopd t0: [11:32:00 08/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [11:32:00 08/11/2016] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [11:32:00 08/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [11:32:00 08/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.19 rs: Final st: NotStopd t0: [11:32:00 08/11/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [11:32:00 08/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [11:09:00 08/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29 u1: % rs: Final st: NotStopd t0: [11:09:00 08/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 110 rs: Final st: NotStopd
t0: [10:00:00 08/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 08/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [10:38:00 08/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28.9 u1: % rs: Final st: NotStopd t0: [10:38:00 08/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 115 rs: Final st: NotStopd t0: [11:09:00 08/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 13.9 rs: Final st: NotStopd t0: [11:09:00 08/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [11:09:00 08/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 30.9 rs: Final st: NotStopd t0: [11:09:00 08/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [11:09:00 08/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.9 rs: Final st: NotStopd t0: [11:09:00 08/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 30.9 rs: Final st: NotStopd
t0: [11:30:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:30:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [11:30:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.74368 u1: ... st: NotStopd t0: [11:30:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [11:30:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:30:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:30:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:30:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [11:30:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Junctional st: NotStopd t0: [11:30:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.68224 u1: kg x m st: NotStopd t0: [11:30:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.14079 u1: ... st: NotStopd t0: [11:30:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 82.2528 u1: g * m st: NotStopd t0: [11:30:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 29.6029 u1: g*m/m2 st: NotStopd t0: [11:30:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [11:30:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [11:30:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [11:30:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:30:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [11:30:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:30:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.9928 u1: ... st: NotStopd t0: [11:30:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 600 u1: ... st: NotStopd t0: [11:30:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1664.23 u1: ... st: NotStopd t0: [11:30:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:30:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 72.381 u1: ml st: NotStopd t0: [11:30:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [11:30:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:30:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [11:30:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [11:30:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.6 u1: L/min st: NotStopd t0: [11:32:00 08/11/2016] id: DO2 el: 0 cu: CSRU cg: RN v1: 988 u1: ml/min st: NotStopd t0: [11:32:00 08/11/2016] id: DO2I el: 0 cu: CSRU cg: RN v1: 356.2 u1: ml/m/m st: NotStopd t0: [11:32:00 08/11/2016] id: zzO2AV el: 0 cu: CSRU cg: RN v1: 988 u1: ml/min st: NotStopd t0: [11:32:00 08/11/2016] id: zzO2AVI el: 0 cu: CSRU cg: RN v1: 356.679 u1: ml/m/m st: NotStopd t0: [11:32:00 08/11/2016] id: O2AV el: 0 cu: CSRU cg: RN v1: 988 u1: ml/min st: NotStopd t0: [11:32:00 08/11/2016] id: O2AVI el: 0 cu: CSRU cg: RN v1: 356.679 u1: ml/m/m st: NotStopd t0: [11:45:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:45:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [11:45:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:45:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [11:45:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:45:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:45:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:45:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [11:45:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Junctional st: NotStopd t0: [11:45:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [11:45:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [11:45:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [11:45:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:45:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [11:45:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:45:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [11:45:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [11:45:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:45:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [11:45:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [11:45:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [12:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.70758 u1: ... st: NotStopd t0: [12:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [12:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Junctional st: NotStopd t0: [12:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.854 u1: kg x m st: NotStopd t0: [12:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.85199 u1: ... st: NotStopd t0: [12:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 75.3984 u1: g * m st: NotStopd t0: [12:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.0758 u1: g*m/m2 st: NotStopd t0: [12:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [12:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [12:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [12:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.9928 u1: ... st: NotStopd t0: [12:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 608 u1: ... st: NotStopd t0: [12:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1682.66 u1: ... st: NotStopd t0: [12:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 72.1154 u1: ml st: NotStopd t0: [12:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [12:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [12:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [12:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.5 u1: L/min st: NotStopd
t0: [12:00:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 19.629 vu: ml t0: [12:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [12:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [12:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 55.8881 vu: ml t0: [12:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [12:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [12:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml t0: [12:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [11:30:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [11:30:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:30:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip t0: [11:45:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:45:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [11:45:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:45:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip t0: [12:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [12:00:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [12:20:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:20:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [12:20:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:20:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:20:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [12:20:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [12:20:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:20:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [12:20:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:20:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [12:20:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:20:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [12:20:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:20:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:20:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [12:20:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:20:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [10:38:00 08/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [10:38:00 08/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [10:38:00 08/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 31.9 rs: Final st: NotStopd t0: [10:38:00 08/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [10:38:00 08/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [10:38:00 08/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 31.9 rs: Final st: NotStopd
t0: [12:00:00 08/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 22.973 u1: ml/cmH st: NotStopd t0: [12:00:00 08/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [12:00:00 08/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 08/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [12:00:00 08/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 08/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 08/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [12:00:00 08/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 8 st: NotStopd t0: [12:00:00 08/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:00:00 08/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [12:00:00 08/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 08/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 42 u1: cmH2O st: NotStopd t0: [12:00:00 08/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 08/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:00:00 08/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 08/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:00:00 08/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:00:00 08/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 08/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 790 u1: ml/B st: NotStopd t0: [12:00:00 08/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 850 u1: ml/B st: NotStopd t0: [12:00:00 08/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [12:00:00 08/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [12:00:00 08/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd
t0: [12:20:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 79.016 u1: g * m st: NotStopd t0: [12:20:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.5199 u1: g*m/m2 st: NotStopd t0: [12:20:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 670.27 u1: ... st: NotStopd t0: [12:30:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:30:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [12:30:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.67148 u1: ... st: NotStopd t0: [12:30:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [12:30:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:30:00 08/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:30:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:30:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [12:30:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Junctional st: NotStopd t0: [12:30:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.84992 u1: kg x m st: NotStopd t0: [12:30:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.81588 u1: ... st: NotStopd t0: [12:30:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 74.256 u1: g * m st: NotStopd t0: [12:30:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.7148 u1: g*m/m2 st: NotStopd t0: [12:30:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [12:30:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [12:30:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [12:30:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:30:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [12:30:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:30:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.2708 u1: ... st: NotStopd t0: [12:30:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 627.027 u1: ... st: NotStopd t0: [12:30:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1737.83 u1: ... st: NotStopd t0: [12:30:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [12:30:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 70.4762 u1: ml st: NotStopd t0: [12:30:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [12:30:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:30:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [12:30:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [12:30:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:30:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.4 u1: L/min st: NotStopd
t0: [12:30:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:30:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [12:30:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:30:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [13:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [13:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.67148 u1: ... st: NotStopd t0: [13:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [13:00:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [13:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Junctional st: NotStopd t0: [13:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.25248 u1: kg x m st: NotStopd t0: [13:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.99639 u1: ... st: NotStopd t0: [13:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 78.064 u1: g * m st: NotStopd t0: [13:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.1588 u1: g*m/m2 st: NotStopd t0: [13:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [13:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [13:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [13:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [13:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.2708 u1: ... st: NotStopd t0: [13:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 648.649 u1: ... st: NotStopd t0: [13:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1797.75 u1: ... st: NotStopd t0: [13:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 70.4762 u1: ml st: NotStopd t0: [13:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [13:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [13:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [13:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.4 u1: L/min st: NotStopd
t0: [13:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [13:00:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [13:00:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 13.086 vu: ml t0: [13:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [13:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [13:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 46.3462 vu: ml t0: [13:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [13:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [13:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [13:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 30 vu: ml
tf: [10:00:00 08/11/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Vancomycin HCl v1: 500 u1: mg m2: D5W v2: 200 u2: ml tf: [10:00:00 08/11/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Vancomycin HCl v1: 500 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [14:05:00 08/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [14:05:00 08/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.9927 u1: ml/dl st: NotStopd t0: [14:05:00 08/11/2016] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [14:05:00 08/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [14:05:00 08/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [14:05:00 08/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [14:05:00 08/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [14:05:00 08/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [14:05:00 08/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.18 rs: Final st: NotStopd t0: [14:05:00 08/11/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [14:05:00 08/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 96 u1: % rs: Final st: NotStopd
t0: [14:10:00 08/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29 u1: % rs: Final st: NotStopd t0: [14:10:00 08/11/2016] id: Mixed Venous O2 Blood Gases el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [14:10:00 08/11/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 63 rs: Final st: NotStopd
t0: [13:00:00 08/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [14:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [14:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.59928 u1: ... st: NotStopd t0: [14:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [14:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.3232 u1: kg x m st: NotStopd t0: [14:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.99639 u1: ... st: NotStopd t0: [14:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 77.452 u1: g * m st: NotStopd t0: [14:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.7978 u1: g*m/m2 st: NotStopd t0: [14:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [14:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [14:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [14:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [14:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [14:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.1877 u1: ... st: NotStopd t0: [14:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 633.333 u1: ... st: NotStopd t0: [14:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1753.85 u1: ... st: NotStopd t0: [14:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 67.2897 u1: ml st: NotStopd t0: [14:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [14:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [14:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [14:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.2 u1: L/min st: NotStopd t0: [14:05:00 08/11/2016] id: DO2 el: 0 cu: CSRU cg: RN v1: 936 u1: ml/min st: NotStopd t0: [14:05:00 08/11/2016] id: DO2I el: 0 cu: CSRU cg: RN v1: 338 u1: ml/m/m st: NotStopd t0: [14:05:00 08/11/2016] id: zzO2AV el: 0 cu: CSRU cg: RN v1: 936 u1: ml/min st: NotStopd t0: [14:05:00 08/11/2016] id: zzO2AVI el: 0 cu: CSRU cg: RN v1: 337.906 u1: ml/m/m st: NotStopd t0: [14:05:00 08/11/2016] id: O2AV el: 0 cu: CSRU cg: RN v1: 936 u1: ml/min st: NotStopd t0: [14:05:00 08/11/2016] id: O2AVI el: 0 cu: CSRU cg: RN v1: 337.906 u1: ml/m/m st: NotStopd
t0: [14:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [14:00:00 08/11/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [13:52:00 08/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28.8 u1: % rs: Final st: NotStopd
t0: [14:00:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 8.724 vu: ml t0: [14:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [14:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 38.1675 vu: ml t0: [14:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [14:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [14:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [14:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [13:52:00 08/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 94 rs: Final st: NotStopd t0: [13:52:00 08/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.8 rs: Final st: NotStopd t0: [13:52:00 08/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 94 rs: Final st: NotStopd t0: [13:52:00 08/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.8 rs: Final st: NotStopd
t0: [15:00:00 08/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 0 st: D/C'd
tf: [19:00:00 28/11/2016] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Morphine Sulfate v1: 2-8 u1: mg
t0: [15:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [15:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [15:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 27.2625 vu: ml t0: [15:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [15:00:00 08/11/2016] tf: [17:00:00 21/11/2016] dt: 18840 id: Gastric Oral Gastric el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [15:00:00 08/11/2016] id: Gastric Oral Gastric el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [16:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [16:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [16:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 27.2625 vu: ml t0: [16:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [16:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [16:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [16:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [23:00:00 08/11/2016] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 100 ap: none
t0: [15:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [15:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.59928 u1: ... st: NotStopd t0: [15:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [15:00:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [15:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Junctional st: NotStopd t0: [15:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.61696 u1: kg x m st: NotStopd t0: [15:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.10469 u1: ... st: NotStopd t0: [15:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 78.9888 u1: g * m st: NotStopd t0: [15:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.5199 u1: g*m/m2 st: NotStopd t0: [15:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [15:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [15:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [15:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [15:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [15:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.8267 u1: ... st: NotStopd t0: [15:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 655.556 u1: ... st: NotStopd t0: [15:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1815.38 u1: ... st: NotStopd t0: [15:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 66.055 u1: ml st: NotStopd t0: [15:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [15:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.7 u1: Deg. C st: NotStopd t0: [15:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.66 u1: Deg. F st: NotStopd t0: [15:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.2 u1: L/min st: NotStopd t0: [16:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [16:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.59928 u1: ... st: NotStopd t0: [16:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [16:00:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [16:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.02944 u1: kg x m st: NotStopd t0: [16:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.88809 u1: ... st: NotStopd t0: [16:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 74.7184 u1: g * m st: NotStopd t0: [16:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.0758 u1: g*m/m2 st: NotStopd t0: [16:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [16:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [16:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [16:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [16:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [16:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.1877 u1: ... st: NotStopd t0: [16:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 600 u1: ... st: NotStopd t0: [16:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1661.54 u1: ... st: NotStopd t0: [16:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 66.6667 u1: ml st: NotStopd t0: [16:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [16:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Rectal st: NotStopd t0: [16:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.7 u1: Deg. C st: NotStopd t0: [16:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.66 u1: Deg. F st: NotStopd t0: [16:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.2 u1: L/min st: NotStopd
t0: [15:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [15:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip t0: [16:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [16:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [15:00:00 08/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 08/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [15:00:00 08/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [16:00:00 08/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [16:00:00 08/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [16:00:00 08/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 24.2857 u1: ml/cmH st: NotStopd t0: [16:00:00 08/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [16:00:00 08/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 08/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [16:00:00 08/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 08/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 08/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [16:00:00 08/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 8 st: NotStopd t0: [16:00:00 08/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [16:00:00 08/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 16.1 u1: L/min st: NotStopd t0: [16:00:00 08/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 08/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 08/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 38 u1: cmH2O st: NotStopd t0: [16:00:00 08/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 08/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:00:00 08/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [16:00:00 08/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [16:00:00 08/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 08/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 780 u1: ml/B st: NotStopd t0: [16:00:00 08/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 850 u1: ml/B st: NotStopd t0: [16:00:00 08/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 370 u1: ml/B st: NotStopd t0: [16:00:00 08/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [16:00:00 08/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [16:00:00 08/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd
t0: [12:00:00 08/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 08/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 08/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 08/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 08/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 08/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate v2: H2 Blocker st: NotStopd t0: [12:00:00 08/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 08/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 08/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 08/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 08/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 08/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 08/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 08/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 08/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 08/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [12:00:00 08/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 08/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 08/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 08/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 08/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [12:00:00 08/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [12:00:00 08/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 08/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [12:00:00 08/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 08/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 08/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 08/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 08/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 08/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 08/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 08/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Orange v2: Clear st: NotStopd t0: [12:00:00 08/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 08/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 08/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [12:00:00 08/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [12:00:00 08/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 08/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 08/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 08/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [12:00:00 08/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 08/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 08/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 08/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 08/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 08/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 08/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: H2 Blocker st: NotStopd t0: [16:00:00 08/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 08/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 08/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 08/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 08/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 08/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 08/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 08/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 08/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 08/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 08/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 08/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 08/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 08/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 08/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 08/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [16:00:00 08/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [16:00:00 08/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [16:00:00 08/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [16:00:00 08/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 08/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 08/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 08/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 08/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 08/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 08/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 08/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 08/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 08/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 08/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [16:00:00 08/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [16:00:00 08/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 08/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 08/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 08/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd
t0: [12:00:00 08/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 08/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 08/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient/Sig Othr st: NotStopd t0: [12:00:00 08/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [12:00:00 08/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 08/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [12:00:00 08/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 08/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 08/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 08/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 08/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [12:00:00 08/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 08/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 08/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 08/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [12:00:00 08/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 08/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Yellow v2: Small st: NotStopd t0: [12:00:00 08/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 08/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [12:00:00 08/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 08/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [12:00:00 08/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 08/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 08/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 08/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 08/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 08/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 08/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 08/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 08/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 08/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd
t0: [16:00:00 08/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 08/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 08/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [16:00:00 08/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [16:00:00 08/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [16:00:00 08/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 08/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [16:00:00 08/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 08/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 08/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 08/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [16:00:00 08/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 08/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 08/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 08/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 08/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Fascia st: NotStopd t0: [16:00:00 08/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [16:00:00 08/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 08/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: Yellow v2: Moderate st: NotStopd t0: [16:00:00 08/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 08/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [16:00:00 08/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 08/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red/Purple st: NotStopd t0: [16:00:00 08/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 08/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 08/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 08/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 08/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 08/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 08/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 08/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 08/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 08/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [14:00:00 08/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 08/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 08/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [15:00:00 08/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 08/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [15:00:00 08/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 08/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [15:00:00 08/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 08/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 08/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 08/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 08/11/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: Off st: NotStopd
t0: [12:00:00 08/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [12:00:00 08/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 08/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 08/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: Bleeding st: NotStopd t0: [12:00:00 08/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 08/11/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 08/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 08/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 08/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 08/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [16:00:00 08/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 08/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: Bleeding st: NotStopd t0: [16:00:00 08/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 08/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 08/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 08/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd
t0: [16:00:00 08/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 69 rs: Manual st: NotStopd t0: [17:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [17:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.59928 u1: ... st: NotStopd t0: [17:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [17:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.12736 u1: kg x m st: NotStopd t0: [17:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.92419 u1: ... st: NotStopd t0: [17:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 74.5008 u1: g * m st: NotStopd t0: [17:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.0758 u1: g*m/m2 st: NotStopd t0: [17:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [17:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [17:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [17:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [17:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [17:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.8267 u1: ... st: NotStopd t0: [17:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 566.667 u1: ... st: NotStopd t0: [17:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1569.23 u1: ... st: NotStopd t0: [17:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 66.055 u1: ml st: NotStopd t0: [17:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 59 u1: % st: NotStopd t0: [17:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.7 u1: Deg. C st: NotStopd t0: [17:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.2 u1: L/min st: NotStopd
t0: [17:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [17:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [17:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [17:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [17:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [17:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [17:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [17:00:00 08/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 75 rs: Manual st: NotStopd
t0: [17:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.66 u1: Deg. F st: NotStopd t0: [18:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [18:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.3213 u1: ... st: NotStopd t0: [18:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [18:00:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 115 u1: BPM st: NotStopd t0: [18:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 10.0096 u1: kg x m st: NotStopd t0: [18:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.61011 u1: ... st: NotStopd t0: [18:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 87.04 u1: g * m st: NotStopd t0: [18:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.4079 u1: g*m/m2 st: NotStopd t0: [18:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [18:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [18:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [18:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [18:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [18:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.8809 u1: ... st: NotStopd t0: [18:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 443.478 u1: ... st: NotStopd t0: [18:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1228.92 u1: ... st: NotStopd t0: [18:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 80 u1: ml st: NotStopd t0: [18:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [18:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.8 u1: Deg. C st: NotStopd t0: [18:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.84 u1: Deg. F st: NotStopd t0: [18:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 9.2 u1: L/min st: NotStopd
t0: [18:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [18:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [18:00:00 08/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 08/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [18:00:00 08/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: IV Push st: NotStopd
t0: [18:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [18:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [18:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [18:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [18:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [18:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [18:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [18:45:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:45:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [18:45:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:45:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:45:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:45:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 116 u1: BPM st: NotStopd t0: [18:45:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:45:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [18:45:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:45:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [18:45:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:45:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [18:45:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [18:45:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [18:45:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:45:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:45:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [18:45:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [19:15:00 08/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [19:15:00 08/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.8104 u1: ml/dl st: NotStopd t0: [19:15:00 08/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.3 rs: Final st: NotStopd t0: [19:15:00 08/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [19:15:00 08/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [19:15:00 08/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [19:15:00 08/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 67 u1: mmHg rs: Final st: NotStopd t0: [19:15:00 08/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [19:15:00 08/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.22 rs: Final st: NotStopd t0: [19:15:00 08/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.3 rs: Final st: NotStopd t0: [19:15:00 08/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 95 u1: % rs: Final st: NotStopd
t0: [19:03:00 08/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26.8 u1: % rs: Final st: NotStopd t0: [19:03:00 08/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 94 rs: Final st: NotStopd
t0: [19:03:00 08/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [19:03:00 08/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [19:03:00 08/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [19:03:00 08/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd
t0: [19:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [19:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.2852 u1: ... st: NotStopd t0: [19:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [19:00:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 117 u1: BPM st: NotStopd t0: [19:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.03448 u1: kg x m st: NotStopd t0: [19:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.2491 u1: ... st: NotStopd t0: [19:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 77.4384 u1: g * m st: NotStopd t0: [19:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.7978 u1: g*m/m2 st: NotStopd t0: [19:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [19:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [19:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [19:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [19:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.1588 u1: ... st: NotStopd t0: [19:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 378.022 u1: ... st: NotStopd t0: [19:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1045.59 u1: ... st: NotStopd t0: [19:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 77.7778 u1: ml st: NotStopd t0: [19:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [19:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [19:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 9.1 u1: L/min st: NotStopd t0: [19:15:00 08/11/2016] id: DO2 el: 0 cu: CSRU cg: RN v1: 1183 u1: ml/min st: NotStopd t0: [19:15:00 08/11/2016] id: DO2I el: 0 cu: CSRU cg: RN v1: 427.7 u1: ml/m/m st: NotStopd t0: [19:15:00 08/11/2016] id: zzO2AV el: 0 cu: CSRU cg: RN v1: 1183 u1: ml/min st: NotStopd t0: [19:15:00 08/11/2016] id: zzO2AVI el: 0 cu: CSRU cg: RN v1: 427.076 u1: ml/m/m st: NotStopd t0: [19:15:00 08/11/2016] id: O2AV el: 0 cu: CSRU cg: RN v1: 1183 u1: ml/min st: NotStopd t0: [19:15:00 08/11/2016] id: O2AVI el: 0 cu: CSRU cg: RN v1: 427.076 u1: ml/m/m st: NotStopd
t0: [19:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip
t0: [19:03:00 08/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [19:03:00 08/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd
t0: [19:03:00 08/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 31.4 rs: Final st: NotStopd t0: [19:03:00 08/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 31.4 rs: Final st: NotStopd
t0: [19:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [20:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [20:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.3213 u1: ... st: NotStopd t0: [20:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [20:00:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 119 u1: BPM st: NotStopd t0: [20:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.38304 u1: kg x m st: NotStopd t0: [20:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.03249 u1: ... st: NotStopd t0: [20:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 70.1624 u1: g * m st: NotStopd t0: [20:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.2708 u1: g*m/m2 st: NotStopd t0: [20:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [20:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [20:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [20:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [20:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [20:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.7978 u1: ... st: NotStopd t0: [20:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 347.826 u1: ... st: NotStopd t0: [20:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 963.855 u1: ... st: NotStopd t0: [20:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 77.3109 u1: ml st: NotStopd t0: [20:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 58 u1: % st: NotStopd t0: [20:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.7 u1: Deg. C st: NotStopd t0: [20:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.66 u1: Deg. F st: NotStopd t0: [20:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 9.2 u1: L/min st: NotStopd
t0: [20:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip
t0: [19:00:00 08/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 08/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [19:00:00 08/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: IV Push st: NotStopd t0: [19:45:00 08/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd
t0: [19:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [20:00:00 08/11/2016] tf: [15:18:00 28/11/2016] dt: 28518 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [19:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 17.7206 vu: ml t0: [19:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [19:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml t0: [20:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [20:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [20:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [20:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [20:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [20:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [20:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 65 vu: ml
t0: [17:00:00 08/11/2016] id: Vancomycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 15.3 rs: Final st: NotStopd
t0: [20:00:00 08/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 23.6111 u1: ml/cmH st: NotStopd t0: [20:00:00 08/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [20:00:00 08/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 08/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 08/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 08/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [20:00:00 08/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 8 st: NotStopd t0: [20:00:00 08/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 19 u1: L/min st: NotStopd t0: [20:00:00 08/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 41 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 08/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [20:00:00 08/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 33 u1: BPM st: NotStopd t0: [20:00:00 08/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:00:00 08/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [20:00:00 08/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 08/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 815 u1: ml/B st: NotStopd t0: [20:00:00 08/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 850 u1: ml/B st: NotStopd t0: [20:00:00 08/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 341 u1: ml/B st: NotStopd t0: [20:00:00 08/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 08/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [20:00:00 08/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd
t0: [19:00:00 08/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 135 rs: Manual st: NotStopd
t0: [21:00:00 08/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 127 rs: Manual st: NotStopd
t0: [18:00:00 08/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 08/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 08/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [18:00:00 08/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 08/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 08/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 08/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 08/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 08/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 08/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [21:00:00 08/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 08/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [21:00:00 08/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 08/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 08/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 08/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 08/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 08/11/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: Off st: NotStopd
t0: [21:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [21:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.99639 u1: ... st: NotStopd t0: [21:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 115 u1: BPM st: NotStopd t0: [21:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.09552 u1: kg x m st: NotStopd t0: [21:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.20217 u1: ... st: NotStopd t0: [21:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 52.8768 u1: g * m st: NotStopd t0: [21:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 19.1336 u1: g*m/m2 st: NotStopd t0: [21:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [21:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [21:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [21:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [21:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.9928 u1: ... st: NotStopd t0: [21:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 298.795 u1: ... st: NotStopd t0: [21:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 826.667 u1: ... st: NotStopd t0: [21:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 72.1739 u1: ml st: NotStopd t0: [21:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [21:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [21:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [21:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.3 u1: L/min st: NotStopd
t0: [21:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip
t0: [21:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [21:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [21:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [21:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [21:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [21:00:00 08/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [20:00:00 08/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 08/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 08/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 08/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 08/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 08/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate st: NotStopd t0: [20:00:00 08/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 08/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 08/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 08/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 08/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 08/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 08/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 08/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 08/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 08/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 08/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 08/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 08/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 08/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 08/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [20:00:00 08/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 08/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [20:00:00 08/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 08/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 08/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 08/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 08/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 08/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 08/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 08/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 08/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 08/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 08/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [20:00:00 08/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 08/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 08/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 08/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd
t0: [20:00:00 08/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 08/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 08/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient/Sig Othr st: NotStopd t0: [20:00:00 08/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [20:00:00 08/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [20:00:00 08/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 08/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [20:00:00 08/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [20:00:00 08/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 08/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: Bleeding st: NotStopd t0: [20:00:00 08/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 08/11/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 08/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 08/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 08/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 08/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 08/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [20:00:00 08/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 08/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 08/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 08/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [20:00:00 08/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Yellow v2: Small st: NotStopd t0: [20:00:00 08/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 08/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [20:00:00 08/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 08/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 08/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 08/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 08/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 08/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 08/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 08/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 08/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 08/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 08/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd
t0: [22:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [22:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.03249 u1: ... st: NotStopd t0: [22:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 116 u1: BPM st: NotStopd t0: [22:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.2832 u1: kg x m st: NotStopd t0: [22:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.27437 u1: ... st: NotStopd t0: [22:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.856 u1: g * m st: NotStopd t0: [22:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 19.4946 u1: g*m/m2 st: NotStopd t0: [22:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 52 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [22:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [22:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [22:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [22:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.9928 u1: ... st: NotStopd t0: [22:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 314.286 u1: ... st: NotStopd t0: [22:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 871.287 u1: ... st: NotStopd t0: [22:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 72.4138 u1: ml st: NotStopd t0: [22:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [22:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.4 u1: L/min st: NotStopd
t0: [22:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip
t0: [20:45:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:45:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [20:45:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.03249 u1: ... st: NotStopd t0: [20:45:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:45:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:45:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:45:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 117 u1: BPM st: NotStopd t0: [20:45:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:45:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.08288 u1: kg x m st: NotStopd t0: [20:45:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.56318 u1: ... st: NotStopd t0: [20:45:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 60.7104 u1: g * m st: NotStopd t0: [20:45:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.0217 u1: g*m/m2 st: NotStopd t0: [20:45:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [20:45:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [20:45:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [20:45:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:45:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [20:45:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [20:45:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.9928 u1: ... st: NotStopd t0: [20:45:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 361.905 u1: ... st: NotStopd t0: [20:45:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1003.3 u1: ... st: NotStopd t0: [20:45:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [20:45:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 71.7949 u1: ml st: NotStopd t0: [20:45:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 59 u1: % st: NotStopd t0: [20:45:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:45:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.4 u1: L/min st: NotStopd t0: [21:15:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:15:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [21:15:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.99639 u1: ... st: NotStopd t0: [21:15:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:15:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:15:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:15:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 116 u1: BPM st: NotStopd t0: [21:15:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:15:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.22432 u1: kg x m st: NotStopd t0: [21:15:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.59928 u1: ... st: NotStopd t0: [21:15:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 62.6688 u1: g * m st: NotStopd t0: [21:15:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.7437 u1: g*m/m2 st: NotStopd t0: [21:15:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [21:15:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [21:15:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [21:15:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:15:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [21:15:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:15:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.9928 u1: ... st: NotStopd t0: [21:15:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 337.349 u1: ... st: NotStopd t0: [21:15:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 933.333 u1: ... st: NotStopd t0: [21:15:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [21:15:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 71.5517 u1: ml st: NotStopd t0: [21:15:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [21:15:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:15:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.3 u1: L/min st: NotStopd t0: [21:30:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:30:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [21:30:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:30:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:30:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 116 u1: BPM st: NotStopd t0: [21:30:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:30:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [21:30:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:30:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [21:30:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:30:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [21:30:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [21:30:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:30:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:45:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:45:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [20:45:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip t0: [21:15:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:15:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [21:15:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip t0: [21:30:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:30:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [21:30:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip
id: Platelets el: 1 cu: CSRU cg: RN io: Platelets IV Infusions du: ml rt: Intravenous Push
t0: [22:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [22:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [22:15:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:15:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [22:15:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:15:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:15:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:15:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 115 u1: BPM st: NotStopd t0: [22:15:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:15:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [22:15:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [22:15:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [22:15:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:15:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [22:15:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:15:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [22:15:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [22:15:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:15:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:15:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [22:15:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [21:30:00 08/11/2016] id: Platelets IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vu: ml nb: 1
t0: [22:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 32.715 vu: ml t0: [22:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [22:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [23:00:00 08/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [23:00:00 08/11/2016] tf: [15:00:00 09/11/2016] dt: 960 id: Platelets IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 250 vu: ml t0: [23:00:00 08/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 43.62 vu: ml t0: [23:00:00 08/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [23:00:00 08/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 15 vu: ml
t0: [23:00:00 08/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN pv: 60 cv: 140 ap: none
t0: [23:00:00 08/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [23:00:00 08/11/2016] tf: [07:00:00 09/11/2016] dt: 480 id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [23:00:00 08/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 08/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [23:00:00 08/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.1769 u1: ... st: NotStopd t0: [23:00:00 08/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 08/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 08/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 08/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 08/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 115 u1: BPM st: NotStopd t0: [23:00:00 08/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 08/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.61696 u1: kg x m st: NotStopd t0: [23:00:00 08/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.10469 u1: ... st: NotStopd t0: [23:00:00 08/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 75.3984 u1: g * m st: NotStopd t0: [23:00:00 08/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.0758 u1: g*m/m2 st: NotStopd t0: [23:00:00 08/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [23:00:00 08/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [23:00:00 08/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [23:00:00 08/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 08/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [23:00:00 08/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 08/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.7978 u1: ... st: NotStopd t0: [23:00:00 08/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 427.273 u1: ... st: NotStopd t0: [23:00:00 08/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1182.39 u1: ... st: NotStopd t0: [23:00:00 08/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 08/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 76.5217 u1: ml st: NotStopd t0: [23:00:00 08/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [23:00:00 08/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 08/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [23:00:00 08/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [23:00:00 08/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 08/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.8 u1: L/min st: NotStopd
t0: [21:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [22:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [23:00:00 08/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [19:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip t0: [20:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip t0: [21:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip t0: [22:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip t0: [23:00:00 08/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip
t0: [23:11:00 08/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [23:11:00 08/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.3386 u1: ml/dl st: NotStopd t0: [23:11:00 08/11/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 1144 u1: ml/min st: NotStopd t0: [23:11:00 08/11/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 413.4 u1: ml/m/m st: NotStopd t0: [23:11:00 08/11/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 1144 u1: ml/min st: NotStopd t0: [23:11:00 08/11/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 412.996 u1: ml/m/m st: NotStopd t0: [23:11:00 08/11/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 1144 u1: ml/min st: NotStopd t0: [23:11:00 08/11/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 412.996 u1: ml/m/m st: NotStopd t0: [23:11:00 08/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [23:11:00 08/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [23:11:00 08/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [23:11:00 08/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 109 u1: mmHg rs: Final st: NotStopd t0: [23:11:00 08/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [23:11:00 08/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [23:00:00 08/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 136 rs: Manual st: NotStopd
t0: [23:00:00 08/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 08/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [09:00:00 09/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 0 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [00:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.96029 u1: ... st: NotStopd t0: [00:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 09/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [00:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 114 u1: BPM st: NotStopd t0: [00:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.9216 u1: kg x m st: NotStopd t0: [00:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.213 u1: ... st: NotStopd t0: [00:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 78.336 u1: g * m st: NotStopd t0: [00:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.1588 u1: g*m/m2 st: NotStopd t0: [00:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [00:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [00:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [00:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [00:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [00:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.9928 u1: ... st: NotStopd t0: [00:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 71.9298 u1: ml st: NotStopd t0: [00:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [00:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [00:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [00:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.2 u1: L/min st: NotStopd
t0: [00:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 3 vu: ml t0: [00:00:00 09/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 43.62 vu: ml t0: [00:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [00:00:00 09/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [00:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [00:00:00 09/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [00:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [00:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [00:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 487.805 u1: ... st: NotStopd t0: [00:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1351.35 u1: ... st: NotStopd
t0: [23:00:00 08/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 08/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 08/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 08/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 08/11/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: Off st: NotStopd t0: [00:00:00 09/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 09/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 09/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 09/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 09/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [00:00:00 09/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 09/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate v2: H2 Blocker st: NotStopd t0: [00:00:00 09/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 09/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 09/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 09/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 09/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 09/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 09/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 09/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 09/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 09/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 09/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 09/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [00:00:00 09/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 09/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 09/11/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 09/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 09/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 09/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 09/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Moderate st: NotStopd t0: [00:00:00 09/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 09/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 09/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 09/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 09/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 09/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 09/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 09/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 09/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 09/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 09/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 09/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 09/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 09/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [00:00:00 09/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 09/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [00:00:00 09/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 09/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 09/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 09/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [00:00:00 09/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Yellow v2: Small st: NotStopd t0: [00:00:00 09/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 09/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [00:00:00 09/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 09/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 09/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 09/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 09/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 09/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 09/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 09/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 09/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 09/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 09/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 09/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 09/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 09/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 09/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 09/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 09/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 09/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 09/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 09/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 09/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 09/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 09/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [00:00:00 09/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [00:00:00 09/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 09/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 09/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 09/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 09/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 09/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 09/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 09/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [00:00:00 09/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 09/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 09/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 09/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [00:30:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:30:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [00:30:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:30:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:30:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:30:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 113 u1: BPM st: NotStopd t0: [00:30:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:30:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [00:30:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:30:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:30:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:30:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [00:30:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:30:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:30:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:30:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [00:30:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [00:30:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:30:00 09/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 167 rs: Manual st: NotStopd t0: [01:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [01:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.213 u1: ... st: NotStopd t0: [01:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [01:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.078 u1: kg x m st: NotStopd t0: [01:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.2852 u1: ... st: NotStopd t0: [01:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 82.62 u1: g * m st: NotStopd t0: [01:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 29.9639 u1: g*m/m2 st: NotStopd t0: [01:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [01:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [01:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [01:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 29.2419 u1: ... st: NotStopd t0: [01:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 422.472 u1: ... st: NotStopd t0: [01:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1171.34 u1: ... st: NotStopd t0: [01:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 80.9091 u1: ml st: NotStopd t0: [01:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [01:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [01:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [01:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.9 u1: L/min st: NotStopd
t0: [01:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [01:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 3 vu: ml t0: [01:00:00 09/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 43.62 vu: ml t0: [01:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [01:00:00 09/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [01:00:00 09/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [00:30:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:30:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [00:30:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip t0: [01:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip
t0: [01:00:00 09/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 22.3684 u1: ml/cmH st: NotStopd t0: [01:00:00 09/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [01:00:00 09/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [01:00:00 09/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [01:00:00 09/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [01:00:00 09/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 09/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [01:00:00 09/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 8 st: NotStopd t0: [01:00:00 09/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [01:00:00 09/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.8 u1: L/min st: NotStopd t0: [01:00:00 09/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 09/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 43 u1: cmH2O st: NotStopd t0: [01:00:00 09/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [01:00:00 09/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [01:00:00 09/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:00:00 09/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [01:00:00 09/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [01:00:00 09/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 09/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 798 u1: ml/B st: NotStopd t0: [01:00:00 09/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 850 u1: ml/B st: NotStopd t0: [01:00:00 09/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [01:00:00 09/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [01:00:00 09/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd
t0: [01:40:00 09/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [01:40:00 09/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [01:40:00 09/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [01:40:00 09/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [01:40:00 09/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:40:00 09/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:40:00 09/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:40:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [01:40:00 09/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [01:00:00 09/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 09/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 09/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 09/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 09/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 09/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 09/11/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: Off st: NotStopd
tf: [09:00:00 09/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 2 dn: 1 m1: Furosemide v1: 40 u1: mg
t0: [01:30:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:30:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [01:30:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 09/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Agitated st: NotStopd t0: [01:30:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:30:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:30:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [01:30:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:30:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [01:30:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [01:30:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [01:30:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:30:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [01:30:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:30:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:30:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:45:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:45:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [01:45:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:45:00 09/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Agitated st: NotStopd t0: [01:45:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:45:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:45:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 114 u1: BPM st: NotStopd t0: [01:45:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:45:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [01:45:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [01:45:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [01:45:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:45:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [01:45:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [01:45:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:45:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:30:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [01:45:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:45:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip
t0: [02:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [02:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.70758 u1: ... st: NotStopd t0: [02:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [02:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.426 u1: kg x m st: NotStopd t0: [02:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.31047 u1: ... st: NotStopd t0: [02:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 59.1192 u1: g * m st: NotStopd t0: [02:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 21.2996 u1: g*m/m2 st: NotStopd t0: [02:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [02:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [02:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [02:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [02:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.9097 u1: ... st: NotStopd t0: [02:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 405.333 u1: ... st: NotStopd t0: [02:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1121.77 u1: ... st: NotStopd t0: [02:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 68.8073 u1: ml st: NotStopd t0: [02:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [02:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [02:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [02:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.5 u1: L/min st: NotStopd
t0: [02:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [02:00:00 09/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 24.5362 vu: ml t0: [02:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [02:00:00 09/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [02:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [02:00:00 09/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 15 vu: ml
t0: [01:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip t0: [01:30:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip t0: [01:45:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip t0: [02:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [02:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 09/11/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 715 ap: none
t0: [01:45:00 09/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 137 rs: Manual st: NotStopd
t0: [01:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [03:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [03:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.2491 u1: ... st: NotStopd t0: [03:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [03:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.6904 u1: kg x m st: NotStopd t0: [03:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.14079 u1: ... st: NotStopd t0: [03:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 80.1448 u1: g * m st: NotStopd t0: [03:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.8809 u1: g*m/m2 st: NotStopd t0: [03:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [03:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [03:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [03:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 29.9639 u1: ... st: NotStopd t0: [03:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 400 u1: ... st: NotStopd t0: [03:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1107.69 u1: ... st: NotStopd t0: [03:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 82.5688 u1: ml st: NotStopd t0: [03:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [03:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [03:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [03:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 9 u1: L/min st: NotStopd
t0: [03:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [03:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [03:00:00 09/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [03:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [03:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [03:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [03:44:00 09/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [03:44:00 09/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [03:44:00 09/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [03:44:00 09/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [03:44:00 09/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 133 u1: mmHg rs: Final st: NotStopd t0: [03:44:00 09/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd
t0: [03:44:00 09/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 143 rs: Final st: NotStopd t0: [03:44:00 09/11/2016] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [03:44:00 09/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 143 rs: Final st: NotStopd t0: [03:44:00 09/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.25 rs: Final st: NotStopd t0: [03:44:00 09/11/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [03:44:00 09/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [00:00:00 09/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 09/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: Bleeding st: NotStopd t0: [00:00:00 09/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [00:00:00 09/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [03:30:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:30:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [03:30:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:30:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:30:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:30:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [03:30:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:30:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [03:30:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:30:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:30:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:30:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [03:30:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:30:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:30:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 09/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 09/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 09/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [04:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.74368 u1: ... st: NotStopd t0: [04:00:00 09/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 09/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [04:00:00 09/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 09/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [04:00:00 09/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 09/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 09/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 09/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 09/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 09/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 09/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 09/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 09/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 09/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 09/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 09/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 09/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [04:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 09/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [04:00:00 09/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 09/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [04:00:00 09/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: Bleeding st: NotStopd t0: [04:00:00 09/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 09/11/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 09/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [04:00:00 09/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 09/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 09/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 09/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 09/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Moderate st: NotStopd t0: [04:00:00 09/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 09/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 09/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 09/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 09/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.06208 u1: kg x m st: NotStopd t0: [04:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.92419 u1: ... st: NotStopd t0: [04:00:00 09/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 09/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 09/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 09/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 73.1952 u1: g * m st: NotStopd t0: [04:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.3538 u1: g*m/m2 st: NotStopd t0: [04:00:00 09/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 09/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 09/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [04:00:00 09/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [04:00:00 09/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [04:00:00 09/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [04:00:00 09/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [04:00:00 09/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 09/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 09/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [04:00:00 09/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Yellow v2: Small st: NotStopd t0: [04:00:00 09/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 09/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [04:00:00 09/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 09/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 09/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 09/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [04:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [04:00:00 09/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 09/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 09/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 09/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 09/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 09/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 09/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [04:00:00 09/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 09/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 09/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 09/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.9097 u1: ... st: NotStopd t0: [04:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 547.368 u1: ... st: NotStopd t0: [04:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1518.25 u1: ... st: NotStopd t0: [04:00:00 09/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 09/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 09/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 09/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Thick st: NotStopd t0: [04:00:00 09/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 69.0909 u1: ml st: NotStopd t0: [04:00:00 09/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [04:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [04:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [04:00:00 09/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 09/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 09/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 09/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 09/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 09/11/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: Off st: NotStopd t0: [04:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 09/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [04:00:00 09/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [04:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.6 u1: L/min st: NotStopd t0: [04:00:00 09/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [04:00:00 09/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 09/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 09/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 09/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [04:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [04:00:00 09/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [04:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [04:00:00 09/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [04:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml t0: [04:00:00 09/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [03:30:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:30:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 50 su: ml rt: IV Drip t0: [04:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [04:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [03:44:00 09/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.2817 u1: ml/dl st: NotStopd t0: [03:44:00 09/11/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 1170 u1: ml/min st: NotStopd t0: [03:44:00 09/11/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 1170 u1: ml/min st: NotStopd t0: [03:44:00 09/11/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 422.383 u1: ml/m/m st: NotStopd t0: [03:44:00 09/11/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 1170 u1: ml/min st: NotStopd t0: [03:44:00 09/11/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 422.383 u1: ml/m/m st: NotStopd t0: [04:01:00 09/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.1 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 8.1 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29 u1: % rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.39 u1: /mic l rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.1 rs: Final st: NotStopd
t0: [04:01:00 09/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.4 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 30.7 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.4 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 30.7 rs: Final st: NotStopd t0: [04:31:00 09/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 21.25 u1: ml/cmH st: NotStopd t0: [04:31:00 09/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [04:31:00 09/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:31:00 09/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [04:31:00 09/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:31:00 09/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:31:00 09/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [04:31:00 09/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 8 st: NotStopd t0: [04:31:00 09/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:31:00 09/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [04:31:00 09/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:31:00 09/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:31:00 09/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [04:31:00 09/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [04:31:00 09/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:31:00 09/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:31:00 09/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:31:00 09/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:31:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:31:00 09/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thin st: NotStopd t0: [04:31:00 09/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:31:00 09/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 780 u1: ml/B st: NotStopd t0: [04:31:00 09/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 850 u1: ml/B st: NotStopd t0: [04:31:00 09/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 333 u1: ml/B st: NotStopd t0: [04:31:00 09/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:31:00 09/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [04:31:00 09/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd
t0: [04:40:00 09/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [04:40:00 09/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:40:00 09/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:40:00 09/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:40:00 09/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [04:40:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:40:00 09/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [05:00:00 09/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [04:00:00 09/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 124 rs: Manual st: NotStopd
t0: [04:01:00 09/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.8 u1: mg/dl rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 u1: mEq/L rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.8 u1: mg/dl rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 u1: mEq/L rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [04:01:00 09/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd
t0: [05:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [05:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.77978 u1: ... st: NotStopd t0: [05:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [05:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.8068 u1: kg x m st: NotStopd t0: [05:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.45487 u1: ... st: NotStopd t0: [05:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 66.3 u1: g * m st: NotStopd t0: [05:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.8267 u1: g*m/m2 st: NotStopd t0: [05:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [05:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [05:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [05:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [05:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.0758 u1: ... st: NotStopd t0: [05:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 384.416 u1: ... st: NotStopd t0: [05:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1064.75 u1: ... st: NotStopd t0: [05:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 74.7573 u1: ml st: NotStopd t0: [05:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [05:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [05:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.7 u1: L/min st: NotStopd
t0: [05:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [05:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 7 vu: ml t0: [05:00:00 09/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 27.2625 vu: ml t0: [05:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [05:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [05:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [05:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd
t0: [05:15:00 09/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 114 rs: Manual st: NotStopd
t0: [06:00:00 09/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Changed st: NotStopd t0: [06:00:00 09/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [06:00:00 09/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [06:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [06:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.92419 u1: ... st: NotStopd t0: [06:00:00 09/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [06:00:00 09/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [06:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 09/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [06:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 09/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 09/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [06:00:00 09/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 09/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [06:00:00 09/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [06:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.04168 u1: kg x m st: NotStopd t0: [06:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.88809 u1: ... st: NotStopd t0: [06:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 72.4744 u1: g * m st: NotStopd t0: [06:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.9928 u1: g*m/m2 st: NotStopd t0: [06:00:00 09/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [06:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [06:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 09/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [06:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [06:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 26.3538 u1: ... st: NotStopd t0: [06:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 503.704 u1: ... st: NotStopd t0: [06:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1397.26 u1: ... st: NotStopd t0: [06:00:00 09/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 72.973 u1: ml st: NotStopd t0: [06:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [06:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [06:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [06:00:00 09/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 09/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 09/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 09/11/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [06:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.1 u1: L/min st: NotStopd t0: [06:00:00 09/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [06:00:00 09/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Changed st: NotStopd t0: [06:00:00 09/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [06:00:00 09/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [06:00:00 09/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [06:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 7 vu: ml t0: [06:00:00 09/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [06:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [06:00:00 09/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [06:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [06:00:00 09/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 25 vu: ml
t0: [06:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.375 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [06:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [06:40:00 09/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [06:40:00 09/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [06:40:00 09/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [06:40:00 09/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [06:40:00 09/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [06:40:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [06:40:00 09/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [06:00:00 09/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 123 rs: Manual st: NotStopd
tf: [09:00:00 09/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 7 dn: 1 m1: Furosemide v1: 40 u1: mg
t0: [07:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [07:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.85199 u1: ... st: NotStopd t0: [07:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [07:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.76872 u1: kg x m st: NotStopd t0: [07:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.45487 u1: ... st: NotStopd t0: [07:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 65.1168 u1: g * m st: NotStopd t0: [07:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.4657 u1: g*m/m2 st: NotStopd t0: [07:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [07:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [07:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [07:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.4368 u1: ... st: NotStopd t0: [07:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 384.81 u1: ... st: NotStopd t0: [07:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1066.67 u1: ... st: NotStopd t0: [07:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 75.9615 u1: ml st: NotStopd t0: [07:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [07:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [07:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [07:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.9 u1: L/min st: NotStopd
t0: [07:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.375 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [07:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [07:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [07:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 7 vu: ml t0: [07:00:00 09/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [07:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 16.3575 vu: ml t0: [07:00:00 09/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [07:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [07:00:00 09/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [03:44:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.3935 u1: ... st: NotStopd t0: [03:44:00 09/11/2016] id: DO2I el: 0 cu: CSRU cg: RN v1: 440.7 u1: ml/m/m st: NotStopd t0: [03:44:00 09/11/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: RN v1: 70 rs: Manual st: NotStopd t0: [03:44:00 09/11/2016] id: C.O. (fick) el: 0 cu: CSRU cg: RN v1: 9.41675 u1: L/min st: NotStopd t0: [07:00:00 09/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 115 rs: Manual st: NotStopd
t0: [07:00:00 09/11/2016] id: Gastric Oral Gastric el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [23:00:00 09/11/2016] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 100 ap: none
t0: [19:03:00 08/11/2016] id: Vancomycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 16.6 rs: Final st: NotStopd
t0: [08:00:00 09/11/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 09/11/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 09/11/2016] id: AV Interval el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 09/11/2016] id: Inc Cleansing #3 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 09/11/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 09/11/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 09/11/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 09/11/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 09/11/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 09/11/2016] id: Pacer Rate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 09/11/2016] id: Atrial Sens/Capture el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 09/11/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 09/11/2016] id: Atrial Threshold el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 09/11/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 09/11/2016] id: Vent Sens/Capture el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 09/11/2016] id: Vent Threshold el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 09/11/2016] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 09/11/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [19:00:00 28/11/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Clonazepam v1: 1 u1: mg
t0: [08:00:00 09/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 22.973 u1: ml/cmH st: NotStopd t0: [08:00:00 09/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [08:00:00 09/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 09/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [08:00:00 09/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 09/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 09/11/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 09/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [08:00:00 09/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [08:00:00 09/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 13.4 u1: cmH2O st: NotStopd t0: [08:00:00 09/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13 u1: L/min st: NotStopd t0: [08:00:00 09/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 09/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 42 u1: cmH2O st: NotStopd t0: [08:00:00 09/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 09/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 09/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [08:00:00 09/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 09/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 09/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [08:00:00 09/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 804 u1: ml/B st: NotStopd t0: [08:00:00 09/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 850 u1: ml/B st: NotStopd t0: [08:00:00 09/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 311 u1: ml/B st: NotStopd t0: [08:00:00 09/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:00:00 09/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [08:00:00 09/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd
t0: [08:00:00 09/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 09/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 09/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [08:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.74368 u1: ... st: NotStopd t0: [08:00:00 09/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 09/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 09/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate st: NotStopd t0: [08:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 09/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 09/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 09/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 09/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 09/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 09/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 09/11/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 09/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [08:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 09/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.95872 u1: kg x m st: NotStopd t0: [08:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.88809 u1: ... st: NotStopd t0: [08:00:00 09/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 09/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 09/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 09/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 75.3984 u1: g * m st: NotStopd t0: [08:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.0758 u1: g*m/m2 st: NotStopd t0: [08:00:00 09/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 09/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 09/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 09/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [08:00:00 09/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [08:00:00 09/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [08:00:00 09/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [08:00:00 09/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [08:00:00 09/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 09/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [08:00:00 09/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 09/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 09/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 09/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 09/11/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [08:00:00 09/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 09/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.9928 u1: ... st: NotStopd t0: [08:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 547.368 u1: ... st: NotStopd t0: [08:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1518.25 u1: ... st: NotStopd t0: [08:00:00 09/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 09/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [08:00:00 09/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 71.6981 u1: ml st: NotStopd t0: [08:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 72 u1: % st: NotStopd t0: [08:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [08:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [08:00:00 09/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 09/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 09/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 09/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd t0: [08:00:00 09/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.6 u1: L/min st: NotStopd t0: [08:00:00 09/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [08:00:00 09/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 09/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 09/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 09/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [08:30:00 09/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:30:00 09/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN st: NotStopd t0: [08:30:00 09/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [08:30:00 09/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:30:00 09/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [08:30:00 09/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [08:30:00 09/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 99 rs: Manual st: NotStopd
t0: [08:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [08:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 7 vu: ml t0: [08:00:00 09/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [08:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 16.3575 vu: ml t0: [08:00:00 09/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [08:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml t0: [08:00:00 09/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [08:30:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [08:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.375 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [08:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 09/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 09/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 09/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [08:00:00 09/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 09/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 09/11/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 09/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 09/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 09/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 09/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [08:00:00 09/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Moderate st: NotStopd t0: [08:00:00 09/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 09/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 09/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 09/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 09/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 09/11/2016] id: Position el: 0 cu: CSRU cg: RN st: NotStopd t0: [08:00:00 09/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 09/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 09/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 09/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 09/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 09/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 09/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 09/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 09/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 09/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 09/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 09/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [08:00:00 09/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 09/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 09/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [08:00:00 09/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 09/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [08:00:00 09/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 09/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 09/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [09:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [09:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.52708 u1: ... st: NotStopd t0: [09:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [09:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.2832 u1: kg x m st: NotStopd t0: [09:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.27437 u1: ... st: NotStopd t0: [09:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 60.1392 u1: g * m st: NotStopd t0: [09:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 21.6606 u1: g*m/m2 st: NotStopd t0: [09:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [09:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [09:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [09:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.1877 u1: ... st: NotStopd t0: [09:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 480 u1: ... st: NotStopd t0: [09:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1328.06 u1: ... st: NotStopd t0: [09:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 67.3077 u1: ml st: NotStopd t0: [09:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [09:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [09:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [09:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7 u1: L/min st: NotStopd
t0: [09:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 7 vu: ml t0: [09:00:00 09/11/2016] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [09:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 16.3575 vu: ml t0: [09:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [09:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.375 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [09:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 50 su: ml rt: IV Drip
tf: [23:00:00 12/11/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 10 dn: 1 m1: Levofloxacin v1: 500 u1: mg m2: Dextrose 5% v2: 100 u2: ml tf: [08:00:00 22/11/2016] pt: Unit Dose rt: PO fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Sucralfate v1: 1 u1: gm tf: [19:00:00 28/11/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Sertraline HCl v1: 50 u1: mg
t0: [10:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [10:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.63538 u1: ... st: NotStopd t0: [10:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [10:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.85032 u1: kg x m st: NotStopd t0: [10:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.49097 u1: ... st: NotStopd t0: [10:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 66.6264 u1: g * m st: NotStopd t0: [10:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.1877 u1: g*m/m2 st: NotStopd t0: [10:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [10:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [10:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [10:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.6318 u1: ... st: NotStopd t0: [10:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 493.151 u1: ... st: NotStopd t0: [10:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1363.64 u1: ... st: NotStopd t0: [10:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 70.8738 u1: ml st: NotStopd t0: [10:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [10:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [10:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [10:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.3 u1: L/min st: NotStopd
t0: [10:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [10:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [10:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 16.3575 vu: ml t0: [10:00:00 09/11/2016] tf: [17:00:00 10/11/2016] dt: 1860 id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [10:00:00 09/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [10:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [10:00:00 09/11/2016] tf: [18:00:00 09/11/2016] dt: 480 id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [10:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.375 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [10:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 09/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 09/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 09/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [10:00:00 09/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 09/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [10:00:00 09/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 09/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 82 rs: Manual st: NotStopd
t0: [11:08:00 09/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [11:08:00 09/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:08:00 09/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [11:08:00 09/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:08:00 09/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [11:08:00 09/11/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [11:08:00 09/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [11:08:00 09/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [11:08:00 09/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [11:08:00 09/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:08:00 09/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 20 u1: . st: NotStopd t0: [11:08:00 09/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [11:08:00 09/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:08:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [11:08:00 09/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thin st: NotStopd t0: [11:08:00 09/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [11:08:00 09/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [11:08:00 09/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:08:00 09/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [11:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [11:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.52708 u1: ... st: NotStopd t0: [11:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [11:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.3304 u1: kg x m st: NotStopd t0: [11:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.63538 u1: ... st: NotStopd t0: [11:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 68.068 u1: g * m st: NotStopd t0: [11:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.5487 u1: g*m/m2 st: NotStopd t0: [11:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [11:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [11:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [11:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [11:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.4657 u1: ... st: NotStopd t0: [11:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 582.857 u1: ... st: NotStopd t0: [11:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1612.65 u1: ... st: NotStopd t0: [11:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 64.8148 u1: ml st: NotStopd t0: [11:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [11:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [11:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [11:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 09/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 99 rs: Manual st: NotStopd t0: [11:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7 u1: L/min st: NotStopd
t0: [11:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [11:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [11:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 16.3575 vu: ml t0: [11:00:00 09/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [11:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [11:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.375 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [11:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [12:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.34657 u1: ... st: NotStopd t0: [12:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [12:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.2764 u1: kg x m st: NotStopd t0: [12:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.27437 u1: ... st: NotStopd t0: [12:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 58.9016 u1: g * m st: NotStopd t0: [12:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 21.2996 u1: g*m/m2 st: NotStopd t0: [12:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [12:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [12:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [12:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [12:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.0217 u1: ... st: NotStopd t0: [12:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 541.538 u1: ... st: NotStopd t0: [12:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1497.87 u1: ... st: NotStopd t0: [12:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 09/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [12:00:00 09/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 60.7477 u1: ml st: NotStopd t0: [12:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [12:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [12:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [12:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [12:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [12:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [12:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 16.3575 vu: ml t0: [12:00:00 09/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [12:00:00 09/11/2016] tf: [04:00:00 10/11/2016] dt: 960 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [12:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [12:00:00 09/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 25 vu: ml
t0: [12:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.375 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [12:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [12:15:00 09/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [12:15:00 09/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.8671 u1: ml/dl st: NotStopd t0: [12:15:00 09/11/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 845 u1: ml/min st: NotStopd t0: [12:15:00 09/11/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 305.5 u1: ml/m/m st: NotStopd t0: [12:15:00 09/11/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 845 u1: ml/min st: NotStopd t0: [12:15:00 09/11/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 305.054 u1: ml/m/m st: NotStopd t0: [12:15:00 09/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 117 rs: Final st: NotStopd t0: [12:15:00 09/11/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 845 u1: ml/min st: NotStopd t0: [12:15:00 09/11/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 305.054 u1: ml/m/m st: NotStopd t0: [12:15:00 09/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [12:15:00 09/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [12:15:00 09/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [12:15:00 09/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [12:15:00 09/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [12:15:00 09/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 117 rs: Final st: NotStopd t0: [12:15:00 09/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.19 rs: Final st: NotStopd t0: [12:15:00 09/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 96 u1: % rs: Final st: NotStopd
t0: [12:15:00 09/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd t0: [12:15:00 09/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd t0: [12:45:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:45:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [12:45:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.41877 u1: ... st: NotStopd t0: [12:45:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:45:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:45:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:45:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [12:45:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:45:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.01624 u1: kg x m st: NotStopd t0: [12:45:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.52708 u1: ... st: NotStopd t0: [12:45:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 65.9736 u1: g * m st: NotStopd t0: [12:45:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.8267 u1: g*m/m2 st: NotStopd t0: [12:45:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [12:45:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:45:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [12:45:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:45:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [12:45:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:45:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.7437 u1: ... st: NotStopd t0: [12:45:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 632.836 u1: ... st: NotStopd t0: [12:45:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1752.07 u1: ... st: NotStopd t0: [12:45:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [12:45:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 62.6168 u1: ml st: NotStopd t0: [12:45:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 73 u1: % st: NotStopd t0: [12:45:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:45:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [12:45:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [12:45:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:45:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.7 u1: L/min st: NotStopd
t0: [12:45:00 09/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
t0: [12:45:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:45:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [12:45:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 09/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 09/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [12:00:00 09/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 09/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [12:00:00 09/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [13:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [13:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.99639 u1: ... st: NotStopd t0: [13:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [13:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.78872 u1: kg x m st: NotStopd t0: [13:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.81588 u1: ... st: NotStopd t0: [13:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 73.1952 u1: g * m st: NotStopd t0: [13:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.3538 u1: g*m/m2 st: NotStopd t0: [13:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [13:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [13:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [13:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.1588 u1: ... st: NotStopd t0: [13:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 453.012 u1: ... st: NotStopd t0: [13:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1253.33 u1: ... st: NotStopd t0: [13:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 77.5701 u1: ml st: NotStopd t0: [13:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [13:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [13:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [13:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.3 u1: L/min st: NotStopd
t0: [13:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [13:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [13:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 14.9944 vu: ml t0: [13:00:00 09/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [13:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 15 vu: ml
t0: [13:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [13:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [12:04:00 09/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26 u1: % rs: Final st: NotStopd
t0: [10:00:00 09/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 09/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 09/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [10:00:00 09/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 09/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 09/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 09/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 09/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 09/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 09/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 09/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 09/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [11:00:00 09/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [11:00:00 09/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 09/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 09/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 09/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 09/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 09/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 09/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 09/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate st: NotStopd t0: [12:00:00 09/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 09/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 09/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 09/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 09/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 09/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 09/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 09/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 09/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 09/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 09/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [12:00:00 09/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 09/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 09/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 09/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 09/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 09/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 09/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 09/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [12:00:00 09/11/2016] id: Inc Cleansing #1 el: 0 cu: CSRU cg: RN v1: Normal Saline st: NotStopd t0: [12:00:00 09/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 09/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 09/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 09/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [12:00:00 09/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 09/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 09/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 09/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 09/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 09/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 09/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 09/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 09/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 09/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 09/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [12:00:00 09/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 09/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [12:00:00 09/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 09/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 09/11/2016] id: Position el: 0 cu: CSRU cg: RN st: NotStopd t0: [12:00:00 09/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 09/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [12:00:00 09/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 09/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 09/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 09/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 09/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 09/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [12:00:00 09/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 09/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 09/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 09/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 09/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 09/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 09/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 09/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 09/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 09/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 09/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 09/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 09/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 09/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 09/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 09/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 09/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [12:00:00 09/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 09/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 09/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 09/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 09/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd t0: [12:00:00 09/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 09/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 09/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [12:00:00 09/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 09/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [12:00:00 09/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Very Poor st: NotStopd t0: [12:00:00 09/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 10 u1: number st: NotStopd t0: [12:00:00 09/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 09/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [12:00:00 09/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 09/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 09/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 09/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [13:45:00 09/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
id: Levophed-k el: 101 cu: CSRU cg: RN io: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions am: 16 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ra: 5.4525 ru: ml/hr
id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [14:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [14:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.23827 u1: ... st: NotStopd t0: [14:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 09/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 74 rs: Manual st: NotStopd t0: [14:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [14:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.98672 u1: kg x m st: NotStopd t0: [14:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.16606 u1: ... st: NotStopd t0: [14:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 57.936 u1: g * m st: NotStopd t0: [14:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 20.9386 u1: g*m/m2 st: NotStopd t0: [14:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [14:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [14:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [14:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 21.6606 u1: ... st: NotStopd t0: [14:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 632.258 u1: ... st: NotStopd t0: [14:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1750 u1: ... st: NotStopd t0: [14:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.6154 u1: ml st: NotStopd t0: [14:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [14:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [14:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [14:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 09/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 74 rs: Manual st: NotStopd t0: [14:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [14:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [14:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [14:00:00 09/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [14:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [14:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [14:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [14:38:00 09/11/2016] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [15:00:00 09/11/2016] id: Fresh Frozen Plasma IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [15:00:00 09/11/2016] id: Platelets IV Infusions el: 1 cu: CSRU cg: -1 ai: 210 vo: 0 st: D/C'd
t0: [15:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [15:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.16606 u1: ... st: NotStopd t0: [15:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 09/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 84 rs: Manual st: NotStopd t0: [15:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [15:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.4672 u1: kg x m st: NotStopd t0: [15:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.98556 u1: ... st: NotStopd t0: [15:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 59.228 u1: g * m st: NotStopd t0: [15:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 21.2996 u1: g*m/m2 st: NotStopd t0: [15:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [15:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [15:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [15:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.4657 u1: ... st: NotStopd t0: [15:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 573.333 u1: ... st: NotStopd t0: [15:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1585.25 u1: ... st: NotStopd t0: [15:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 65.2174 u1: ml st: NotStopd t0: [15:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [15:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [15:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [15:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 09/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 84 rs: Manual st: NotStopd t0: [15:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [15:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [15:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [15:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [15:00:00 09/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [15:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [15:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [15:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [15:50:00 09/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [15:50:00 09/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [15:50:00 09/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [15:50:00 09/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [15:50:00 09/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [15:50:00 09/11/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [15:50:00 09/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [15:50:00 09/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [15:50:00 09/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10.8 u1: cmH2O st: NotStopd t0: [15:50:00 09/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [15:50:00 09/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:50:00 09/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 20 u1: . st: NotStopd t0: [15:50:00 09/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [15:50:00 09/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:50:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [15:50:00 09/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 557 u1: ml/B st: NotStopd t0: [15:50:00 09/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 557 u1: ml/B st: NotStopd t0: [15:50:00 09/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [15:50:00 09/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [15:56:00 09/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [15:56:00 09/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.3933 u1: ml/dl st: NotStopd t0: [15:56:00 09/11/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 780 u1: ml/min st: NotStopd t0: [15:56:00 09/11/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 282.1 u1: ml/m/m st: NotStopd t0: [15:56:00 09/11/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 780 u1: ml/min st: NotStopd t0: [15:56:00 09/11/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 281.588 u1: ml/m/m st: NotStopd t0: [15:56:00 09/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [15:56:00 09/11/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 780 u1: ml/min st: NotStopd t0: [15:56:00 09/11/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 281.588 u1: ml/m/m st: NotStopd t0: [15:56:00 09/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [15:56:00 09/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [15:56:00 09/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [15:56:00 09/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 169 u1: mmHg rs: Final st: NotStopd t0: [15:56:00 09/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [15:56:00 09/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [15:56:00 09/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [15:30:00 09/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [15:30:00 09/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [15:45:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:45:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [15:45:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:45:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:45:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:45:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [15:45:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:45:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [15:45:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:45:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [15:45:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:45:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:45:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:45:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [15:45:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:45:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [15:45:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [15:45:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:45:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:45:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [15:45:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 09/11/2016] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: RN cv: 375 ap: none
io: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ra: 20 ru: ml/hr
tf: [16:00:00 10/11/2016] pt: Unit Dose rt: IV fr: Q8H fs: 17, 1, 9 dn: 3 m1: Furosemide v1: 40 u1: mg
id: Promote w/fiber el: 1 cu: CSRU cg: RN io: Promote w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube id: TF Residual el: 1 cu: CSRU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [14:00:00 09/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 09/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 09/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [14:00:00 09/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [14:00:00 09/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [14:00:00 09/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 09/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 09/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 09/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 09/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 09/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 09/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 09/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [15:00:00 09/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [15:00:00 09/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [15:00:00 09/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [15:30:00 09/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [15:30:00 09/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bed as Chair st: NotStopd t0: [15:30:00 09/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [15:30:00 09/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [15:56:00 09/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.3 rs: Final st: NotStopd t0: [15:56:00 09/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.02 rs: Final st: NotStopd t0: [15:56:00 09/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.3 rs: Final st: NotStopd t0: [16:00:00 09/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 09/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 09/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 09/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [16:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.41877 u1: ... st: NotStopd t0: [16:00:00 09/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 09/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 09/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 09/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate st: NotStopd t0: [16:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 09/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 09/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 09/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 09/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 09/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 09/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 09/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 09/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 09/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [16:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 09/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [16:00:00 09/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 09/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 09/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 09/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 09/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 09/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 09/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 09/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 09/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 09/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 09/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 09/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.56064 u1: kg x m st: NotStopd t0: [16:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.38267 u1: ... st: NotStopd t0: [16:00:00 09/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 09/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 09/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 09/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 66.5856 u1: g * m st: NotStopd t0: [16:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.1877 u1: g*m/m2 st: NotStopd t0: [16:00:00 09/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 09/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 09/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 09/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [16:00:00 09/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [16:00:00 09/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [16:00:00 09/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [16:00:00 09/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [16:00:00 09/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [16:00:00 09/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 09/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [16:00:00 09/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 09/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 09/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [16:00:00 09/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 09/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 09/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 09/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 09/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 09/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 09/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 09/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 09/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 09/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.5487 u1: ... st: NotStopd t0: [16:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 525.373 u1: ... st: NotStopd t0: [16:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1454.55 u1: ... st: NotStopd t0: [16:00:00 09/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 09/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 09/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 67.6768 u1: ml st: NotStopd t0: [16:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [16:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [16:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [16:00:00 09/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 09/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 09/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 09/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Apprehensive st: NotStopd t0: [16:00:00 09/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 09/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 09/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [16:00:00 09/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 09/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [16:00:00 09/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Very Poor st: NotStopd t0: [16:00:00 09/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 10 u1: number st: NotStopd t0: [16:00:00 09/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.7 u1: L/min st: NotStopd t0: [16:00:00 09/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [16:00:00 09/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 09/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 09/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 09/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [17:00:00 09/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 09/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Other st: NotStopd t0: [17:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [17:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.16606 u1: ... st: NotStopd t0: [17:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 09/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 09/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [17:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 09/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 119 rs: Manual st: NotStopd t0: [17:00:00 09/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [17:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 09/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [17:00:00 09/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [17:00:00 09/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [17:00:00 09/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [17:00:00 09/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [17:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [17:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 09/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 09/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [17:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.4672 u1: kg x m st: NotStopd t0: [17:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.98556 u1: ... st: NotStopd t0: [17:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 56.4944 u1: g * m st: NotStopd t0: [17:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 20.2166 u1: g*m/m2 st: NotStopd t0: [17:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [17:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [17:00:00 09/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [17:00:00 09/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [17:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [17:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [17:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.3827 u1: ... st: NotStopd t0: [17:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 546.667 u1: ... st: NotStopd t0: [17:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1511.52 u1: ... st: NotStopd t0: [17:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61.8557 u1: ml st: NotStopd t0: [17:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [17:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [17:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [17:00:00 09/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [17:00:00 09/11/2016] id: Turn el: 0 cu: CSRU cg: RN st: NotStopd t0: [17:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 09/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [17:00:00 09/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 119 rs: Manual st: NotStopd t0: [17:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [16:00:00 09/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [16:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [16:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [16:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [16:00:00 09/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [16:00:00 09/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 90 vu: ml t0: [16:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [16:00:00 09/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 55 vu: ml t0: [17:00:00 09/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [17:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [17:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [17:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [17:00:00 09/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [17:00:00 09/11/2016] tf: [23:00:00 09/11/2016] dt: 360 id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 20 vu: ml t0: [17:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 15 vu: ml
t0: [16:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [16:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip t0: [17:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [17:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [18:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [18:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.23827 u1: ... st: NotStopd t0: [18:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [18:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.91424 u1: kg x m st: NotStopd t0: [18:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.49097 u1: ... st: NotStopd t0: [18:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 66.912 u1: g * m st: NotStopd t0: [18:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.1877 u1: g*m/m2 st: NotStopd t0: [18:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [18:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [18:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [18:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [18:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 21.6606 u1: ... st: NotStopd t0: [18:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 722.581 u1: ... st: NotStopd t0: [18:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2000 u1: ... st: NotStopd t0: [18:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.6154 u1: ml st: NotStopd t0: [18:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [18:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [18:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [18:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [18:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [18:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [18:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [18:00:00 09/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [18:00:00 09/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [18:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 450 vu: ml t0: [18:00:00 09/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [18:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [18:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [18:00:00 09/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 109 rs: Manual st: NotStopd t0: [18:00:00 09/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 109 rs: Manual st: NotStopd t0: [19:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [19:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.59928 u1: ... st: NotStopd t0: [19:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 09/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 117 rs: Manual st: NotStopd t0: [19:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [19:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.8544 u1: kg x m st: NotStopd t0: [19:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.49097 u1: ... st: NotStopd t0: [19:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 65.688 u1: g * m st: NotStopd t0: [19:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.8267 u1: g*m/m2 st: NotStopd t0: [19:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 8 u2: mmHg st: NotStopd t0: [19:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [19:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [19:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [19:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [19:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.9097 u1: ... st: NotStopd t0: [19:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 522.222 u1: ... st: NotStopd t0: [19:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1446.15 u1: ... st: NotStopd t0: [19:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 68.5714 u1: ml st: NotStopd t0: [19:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 72 u1: % st: NotStopd t0: [19:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [19:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [19:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 09/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 117 rs: Manual st: NotStopd t0: [19:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.2 u1: L/min st: NotStopd
t0: [18:00:00 09/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 20 vu: ml t0: [19:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [19:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [19:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [19:00:00 09/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [19:00:00 09/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 20 vu: ml t0: [19:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [19:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [19:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 09/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [20:00:00 09/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 09/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 09/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 09/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 09/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [20:00:00 09/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [20:00:00 09/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 09/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [20:00:00 09/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 09/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 20 u1: . st: NotStopd t0: [20:00:00 09/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 09/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [20:00:00 09/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 568 u1: ml/B st: NotStopd t0: [20:00:00 09/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 09/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [20:40:00 09/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.1 rs: Final st: NotStopd t0: [20:40:00 09/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 10.1 rs: Final st: NotStopd t0: [20:40:00 09/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31 u1: % rs: Final st: NotStopd t0: [20:40:00 09/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [20:40:00 09/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 94 rs: Final st: NotStopd t0: [20:40:00 09/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.57 u1: /mic l rs: Final st: NotStopd t0: [20:40:00 09/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.1 rs: Final st: NotStopd
t0: [20:00:00 09/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 09/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 09/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 09/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 09/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 09/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [20:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.59928 u1: ... st: NotStopd t0: [20:00:00 09/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 09/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 09/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 09/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 09/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 09/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [20:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 09/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 09/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 09/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Altered LOC st: NotStopd t0: [20:00:00 09/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [20:00:00 09/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [20:00:00 09/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [20:00:00 09/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 09/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [20:00:00 09/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 09/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 09/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [20:00:00 09/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 09/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 09/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 09/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 09/11/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 09/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 09/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 09/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 09/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [20:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 09/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [20:00:00 09/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 09/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 09/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 09/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 09/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 09/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 09/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 09/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [20:00:00 09/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 09/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 09/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 09/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 09/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 09/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.75648 u1: kg x m st: NotStopd t0: [20:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.45487 u1: ... st: NotStopd t0: [20:00:00 09/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 09/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 09/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 09/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 70.38 u1: g * m st: NotStopd t0: [20:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.2708 u1: g*m/m2 st: NotStopd t0: [20:00:00 09/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [20:00:00 09/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 09/11/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [20:00:00 09/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [20:00:00 09/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [20:00:00 09/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 09/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [20:00:00 09/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [20:00:00 09/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 09/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [20:00:00 09/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [20:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [20:00:00 09/11/2016] id: Position el: 0 cu: CSRU cg: RN st: NotStopd t0: [20:00:00 09/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 09/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 09/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [20:00:00 09/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [20:00:00 09/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 09/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 09/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 09/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 09/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [20:00:00 09/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 09/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [20:00:00 09/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 09/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 09/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 09/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 09/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 09/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 09/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 09/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 09/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 09/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 09/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 09/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 09/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.0758 u1: ... st: NotStopd t0: [20:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 500 u1: ... st: NotStopd t0: [20:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1384.62 u1: ... st: NotStopd t0: [20:00:00 09/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 09/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 09/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 75 u1: ml st: NotStopd t0: [20:00:00 09/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 73 u1: % st: NotStopd t0: [20:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [20:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [20:00:00 09/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [20:00:00 09/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 09/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 09/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 09/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 09/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 09/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 09/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 09/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [20:00:00 09/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 09/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [20:00:00 09/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 09/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 09/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.2 u1: L/min st: NotStopd t0: [20:00:00 09/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [20:00:00 09/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 09/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 09/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 09/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [20:50:00 09/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.5 rs: Final st: NotStopd t0: [20:50:00 09/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.5 rs: Final st: NotStopd t0: [21:00:00 09/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 09/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 117 rs: Manual st: NotStopd t0: [21:00:00 09/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [21:00:00 09/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [21:00:00 09/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 117 rs: Manual st: NotStopd
t0: [20:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [20:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [20:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [20:00:00 09/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [20:00:00 09/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 20 vu: ml t0: [20:00:00 09/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [20:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml t0: [20:00:00 09/11/2016] tf: [04:00:00 10/11/2016] dt: 480 id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [21:00:00 09/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 100 vu: ml t0: [21:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [21:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [21:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [21:00:00 09/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [21:00:00 09/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 20 vu: ml t0: [21:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [20:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [20:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 09/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 290 ap: none
t0: [20:50:00 09/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.1 rs: Final st: NotStopd
t0: [21:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [21:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.67148 u1: ... st: NotStopd t0: [21:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 09/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [21:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.44736 u1: kg x m st: NotStopd t0: [21:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.67148 u1: ... st: NotStopd t0: [21:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 76.4864 u1: g * m st: NotStopd t0: [21:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.4368 u1: g*m/m2 st: NotStopd t0: [21:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [21:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [21:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [21:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [21:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.4368 u1: ... st: NotStopd t0: [21:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 518.919 u1: ... st: NotStopd t0: [21:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1438.2 u1: ... st: NotStopd t0: [21:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 76.2887 u1: ml st: NotStopd t0: [21:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 73 u1: % st: NotStopd t0: [21:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [21:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [21:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.4 u1: L/min st: NotStopd t0: [22:00:00 09/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [22:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.74368 u1: ... st: NotStopd t0: [22:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 09/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 117 rs: Manual st: NotStopd t0: [22:00:00 09/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [22:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.13184 u1: kg x m st: NotStopd t0: [22:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.56318 u1: ... st: NotStopd t0: [22:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 74.1336 u1: g * m st: NotStopd t0: [22:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.7148 u1: g*m/m2 st: NotStopd t0: [22:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [22:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 09/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [22:00:00 09/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [22:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [22:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [22:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.5199 u1: ... st: NotStopd t0: [22:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 452.632 u1: ... st: NotStopd t0: [22:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1255.47 u1: ... st: NotStopd t0: [22:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 79.1667 u1: ml st: NotStopd t0: [22:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [22:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [22:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [22:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 09/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 117 rs: Manual st: NotStopd t0: [22:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.6 u1: L/min st: NotStopd
t0: [22:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [22:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [22:00:00 09/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [22:00:00 09/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 30 vu: ml t0: [22:00:00 09/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [22:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [22:00:00 09/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [21:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [21:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip t0: [22:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [22:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 09/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: RN v1: 7.39 rs: Manual st: NotStopd t0: [20:00:00 09/11/2016] id: AaDO2 el: 0 cu: CSRU cg: RN v1: 185.5 u1: mmHg st: NotStopd t0: [20:00:00 09/11/2016] id: PAO2 el: 0 cu: CSRU cg: RN v1: 315.5 u1: mmHg st: NotStopd t0: [20:00:00 09/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: RN v1: 0 rs: Manual st: NotStopd t0: [20:00:00 09/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: RN v1: 26 rs: Manual st: NotStopd t0: [20:00:00 09/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg rs: Manual st: NotStopd t0: [20:00:00 09/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg rs: Manual st: NotStopd t0: [20:00:00 09/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: RN v1: 7.39 rs: Manual st: NotStopd
t0: [22:00:00 09/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd
t0: [20:00:00 09/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 09/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [23:00:00 09/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 09/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [23:00:00 09/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.16606 u1: ... st: NotStopd t0: [23:00:00 09/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 09/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 09/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 102 rs: Manual st: NotStopd t0: [23:00:00 09/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [23:00:00 09/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 09/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [23:00:00 09/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 09/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 11.9136 u1: kg x m st: NotStopd t0: [23:00:00 09/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.29603 u1: ... st: NotStopd t0: [23:00:00 09/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 131.05 u1: g * m st: NotStopd t0: [23:00:00 09/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 47.2924 u1: g*m/m2 st: NotStopd t0: [23:00:00 09/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [23:00:00 09/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [23:00:00 09/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg st: NotStopd t0: [23:00:00 09/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [23:00:00 09/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [23:00:00 09/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.8267 u1: ... st: NotStopd t0: [23:00:00 09/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1600 u1: ... st: NotStopd t0: [23:00:00 09/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 4423.96 u1: ... st: NotStopd t0: [23:00:00 09/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 09/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 65.9341 u1: ml st: NotStopd t0: [23:00:00 09/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [23:00:00 09/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 09/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [23:00:00 09/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [23:00:00 09/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 09/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 102 rs: Manual st: NotStopd t0: [23:00:00 09/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd t0: [00:00:00 10/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 10/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 10/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 10/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 10/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 10/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [00:00:00 10/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.31047 u1: ... st: NotStopd t0: [00:00:00 10/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 10/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [00:00:00 10/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 10/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [00:00:00 10/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [00:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 10/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 112 rs: Manual st: NotStopd t0: [00:00:00 10/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 10/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [00:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 10/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Altered LOC st: NotStopd t0: [00:00:00 10/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [00:00:00 10/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [00:00:00 10/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 10/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [00:00:00 10/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Suctioning st: NotStopd t0: [00:00:00 10/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 10/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 10/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 10/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 10/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 10/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 10/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 10/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [00:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 10/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [00:00:00 10/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 10/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 10/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 10/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 10/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 10/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 10/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 10/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [00:00:00 10/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 10/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 10/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 10/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 10/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 10/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 10/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.35392 u1: kg x m st: NotStopd t0: [00:00:00 10/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.31047 u1: ... st: NotStopd t0: [00:00:00 10/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 10/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 10/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 10/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 10/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 61.5536 u1: g * m st: NotStopd t0: [00:00:00 10/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.3827 u1: g*m/m2 st: NotStopd t0: [00:00:00 10/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 10/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 10/11/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [00:00:00 10/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [00:00:00 10/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [00:00:00 10/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 10/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [00:00:00 10/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:00:00 10/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 10/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [00:00:00 10/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [00:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [00:00:00 10/11/2016] id: Position el: 0 cu: CSRU cg: RN st: NotStopd t0: [00:00:00 10/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 10/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [00:00:00 10/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [00:00:00 10/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 10/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 10/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 10/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 10/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [00:00:00 10/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 10/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 10/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [00:00:00 10/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 10/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 10/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 10/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 10/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 10/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 10/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 10/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 10/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 10/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 10/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 10/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 10/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.3827 u1: ... st: NotStopd t0: [00:00:00 10/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 650 u1: ... st: NotStopd t0: [00:00:00 10/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1800.87 u1: ... st: NotStopd t0: [00:00:00 10/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 10/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 10/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 10/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [00:00:00 10/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [00:00:00 10/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61.5385 u1: ml st: NotStopd t0: [00:00:00 10/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 10/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [00:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [00:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [00:00:00 10/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [00:00:00 10/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 10/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 10/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 10/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 10/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd t0: [00:00:00 10/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 10/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 112 rs: Manual st: NotStopd t0: [00:00:00 10/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 10/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [00:00:00 10/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 10/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [00:00:00 10/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 10/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 11 u1: number st: NotStopd t0: [00:00:00 10/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 10/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.4 u1: L/min st: NotStopd t0: [00:00:00 10/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [00:00:00 10/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 10/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 10/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 10/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [20:00:00 09/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [23:00:00 09/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [23:00:00 09/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [23:00:00 09/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [23:00:00 09/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [23:00:00 09/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [23:00:00 09/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [23:00:00 09/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 30 vu: ml st: Stopped t0: [23:00:00 09/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [00:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [00:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [00:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [00:00:00 10/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [00:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml t0: [00:00:00 10/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [23:00:00 09/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 09/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [23:00:00 09/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip t0: [00:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [00:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 09/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 140 cv: 140 ap: none t0: [23:00:00 09/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -31.6425 cv: -31.6425 ap: none t0: [23:00:00 09/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 78.3575 cv: 2707.07 ap: none t0: [23:00:00 09/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 108.357 cv: 3532.07 ap: none t0: [23:00:00 09/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 30 cv: 160 ap: none t0: [23:00:00 09/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 140 cv: 3240 ap: none t0: [23:00:00 09/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -31.6425 cv: -522.93 ap: none t0: [23:00:00 09/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 140 cv: 4055 ap: none t0: [23:00:00 09/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -31.6425 cv: 16237.8 ap: none t0: [23:00:00 10/11/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 690 ap: none
t0: [00:30:00 10/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 22.3684 u1: ml/cmH st: NotStopd t0: [00:30:00 10/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [00:30:00 10/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:30:00 10/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:30:00 10/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:30:00 10/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:30:00 10/11/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [00:30:00 10/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [00:30:00 10/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [00:30:00 10/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [00:30:00 10/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [00:30:00 10/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:30:00 10/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 43 u1: cmH2O st: NotStopd t0: [00:30:00 10/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [00:30:00 10/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 20 u1: . st: NotStopd t0: [00:30:00 10/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [00:30:00 10/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [00:30:00 10/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:30:00 10/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:30:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:30:00 10/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 856 u1: ml/B st: NotStopd t0: [00:30:00 10/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 850 u1: ml/B st: NotStopd t0: [00:30:00 10/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 793 u1: ml/B st: NotStopd t0: [00:30:00 10/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:30:00 10/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [00:30:00 10/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd
t0: [01:00:00 10/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [01:00:00 10/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.02166 u1: ... st: NotStopd t0: [01:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 10/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Agitated st: NotStopd t0: [01:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 10/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 123 rs: Manual st: NotStopd t0: [01:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [01:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 10/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.87424 u1: kg x m st: NotStopd t0: [01:00:00 10/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.76895 u1: ... st: NotStopd t0: [01:00:00 10/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 48.7424 u1: g * m st: NotStopd t0: [01:00:00 10/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 17.6895 u1: g*m/m2 st: NotStopd t0: [01:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [01:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 10/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [01:00:00 10/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [01:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 10/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [01:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:00:00 10/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 20.2166 u1: ... st: NotStopd t0: [01:00:00 10/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 571.429 u1: ... st: NotStopd t0: [01:00:00 10/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1584.16 u1: ... st: NotStopd t0: [01:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 10/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56 u1: ml st: NotStopd t0: [01:00:00 10/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [01:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [01:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [01:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 10/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 123 rs: Manual st: NotStopd t0: [01:00:00 10/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.6 u1: L/min st: NotStopd
t0: [01:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [01:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [01:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [01:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [01:00:00 10/11/2016] tf: [11:00:00 14/11/2016] dt: 6360 id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 30 vu: ml t0: [01:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 380 vu: ml
t0: [01:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [01:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 10/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RRT pv: 100 cv: 100 ap: none t0: [23:00:00 10/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 50 cv: 810 ap: none t0: [23:00:00 10/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RRT pv: 100 cv: 2865 ap: none t0: [23:00:00 10/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RRT pv: 100 cv: 3555 ap: none
t0: [01:18:00 10/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [01:18:00 10/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [01:18:00 10/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [01:18:00 10/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [01:18:00 10/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 125 u1: mmHg rs: Final st: NotStopd t0: [01:18:00 10/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [01:18:00 10/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd
t0: [01:00:00 10/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 100 vu: ml
t0: [23:00:00 10/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -13.6188 cv: -13.6188 ap: none t0: [23:00:00 10/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RRT pv: 36.3812 cv: 2075.23 ap: none t0: [23:00:00 10/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 86.3812 cv: 2975.23 ap: none t0: [23:00:00 10/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -13.6188 cv: -579.768 ap: none t0: [23:00:00 10/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -13.6188 cv: 15658 ap: none
t0: [02:00:00 10/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [02:00:00 10/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.31047 u1: ... st: NotStopd t0: [02:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 10/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Agitated st: NotStopd t0: [02:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 10/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 10/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [02:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [02:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 10/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 10/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [02:00:00 10/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.61504 u1: kg x m st: NotStopd t0: [02:00:00 10/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.38267 u1: ... st: NotStopd t0: [02:00:00 10/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 63.0496 u1: g * m st: NotStopd t0: [02:00:00 10/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.7437 u1: g*m/m2 st: NotStopd t0: [02:00:00 10/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [02:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [02:00:00 10/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [02:00:00 10/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [02:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [02:00:00 10/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [02:00:00 10/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 10/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [02:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 10/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.0217 u1: ... st: NotStopd t0: [02:00:00 10/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 637.5 u1: ... st: NotStopd t0: [02:00:00 10/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1766.23 u1: ... st: NotStopd t0: [02:00:00 10/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 10/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 60.9524 u1: ml st: NotStopd t0: [02:00:00 10/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [02:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [02:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [02:00:00 10/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [02:00:00 10/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 10/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 10/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.4 u1: L/min st: NotStopd t0: [03:00:00 10/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [03:00:00 10/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [03:00:00 10/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [03:00:00 10/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [03:00:00 10/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [03:00:00 10/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [03:00:00 10/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 83 rs: Manual st: NotStopd t0: [03:00:00 10/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [03:00:00 10/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [03:00:00 10/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Suctioning st: NotStopd t0: [03:00:00 10/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [03:00:00 10/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [03:00:00 10/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [03:00:00 10/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [03:00:00 10/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [03:00:00 10/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [03:00:00 10/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [03:00:00 10/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [03:00:00 10/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [03:00:00 10/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN st: NotStopd t0: [03:00:00 10/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [03:00:00 10/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [03:00:00 10/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [03:00:00 10/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [03:00:00 10/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Unable to Wedge st: NotStopd t0: [03:00:00 10/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 10/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 10/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 10/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [03:00:00 10/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [03:00:00 10/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [03:00:00 10/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [03:00:00 10/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 10/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 10/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [03:00:00 10/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [03:00:00 10/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [03:00:00 10/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 10/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 10/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [03:00:00 10/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [03:00:00 10/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [03:00:00 10/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [03:00:00 10/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [03:00:00 10/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [03:00:00 10/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [03:00:00 10/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 10/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [03:00:00 10/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 10/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [03:00:00 10/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [03:00:00 10/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [03:00:00 10/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [03:00:00 10/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [03:00:00 10/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [03:00:00 10/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 10/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 10/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 10/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [03:00:00 10/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:00:00 10/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [03:00:00 10/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [03:00:00 10/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [03:00:00 10/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [03:00:00 10/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 10/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [03:00:00 10/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [03:00:00 10/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [03:00:00 10/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [03:00:00 10/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 10/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 10/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd t0: [03:00:00 10/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [03:00:00 10/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 83 rs: Manual st: NotStopd t0: [03:00:00 10/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [03:00:00 10/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [03:00:00 10/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [03:00:00 10/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [03:00:00 10/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [02:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [02:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [02:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [02:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 30 vu: ml t0: [02:00:00 10/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [02:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml t0: [02:00:00 10/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [03:00:00 10/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [03:00:00 10/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vu: ml t0: [03:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [03:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [03:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [03:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [03:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 30 vu: ml t0: [03:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [02:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [02:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [03:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [03:00:00 10/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.31047 u1: ... st: NotStopd t0: [03:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Runs Vtach st: NotStopd t0: [03:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [03:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 10/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.18176 u1: kg x m st: NotStopd t0: [03:00:00 10/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.96029 u1: ... st: NotStopd t0: [03:00:00 10/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 79.2608 u1: g * m st: NotStopd t0: [03:00:00 10/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.5199 u1: g*m/m2 st: NotStopd t0: [03:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [03:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [03:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [03:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 10/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [03:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [03:00:00 10/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.3827 u1: ... st: NotStopd t0: [03:00:00 10/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 875 u1: ... st: NotStopd t0: [03:00:00 10/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2424.24 u1: ... st: NotStopd t0: [03:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 10/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61.5385 u1: ml st: NotStopd t0: [03:00:00 10/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [03:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [03:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [03:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 10/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.4 u1: L/min st: NotStopd
t0: [03:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [04:00:00 10/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.05776 u1: ... st: NotStopd t0: [04:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [04:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [04:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 10/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.04656 u1: kg x m st: NotStopd t0: [04:00:00 10/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.16606 u1: ... st: NotStopd t0: [04:00:00 10/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 61.5264 u1: g * m st: NotStopd t0: [04:00:00 10/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.3827 u1: g*m/m2 st: NotStopd t0: [04:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [04:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 10/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [04:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 10/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 20.9386 u1: ... st: NotStopd t0: [04:00:00 10/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 757.895 u1: ... st: NotStopd t0: [04:00:00 10/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2097.09 u1: ... st: NotStopd t0: [04:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 10/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.1633 u1: ml st: NotStopd t0: [04:00:00 10/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [04:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [04:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [04:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 10/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [04:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [04:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [04:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [04:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 30 vu: ml t0: [04:00:00 10/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [04:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [04:00:00 10/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [04:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip
t0: [04:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:34:00 10/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [04:34:00 10/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.7 rs: Final st: NotStopd t0: [04:34:00 10/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [04:34:00 10/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [04:34:00 10/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [04:34:00 10/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 115 u1: mmHg rs: Final st: NotStopd t0: [04:34:00 10/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [04:34:00 10/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.25 rs: Final st: NotStopd t0: [04:34:00 10/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.7 rs: Final st: NotStopd
t0: [01:18:00 10/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.5 rs: Final st: NotStopd t0: [01:18:00 10/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.5 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg v2: 27 u2: mmHg st: NotStopd
t0: [02:00:00 10/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vu: ml
t0: [05:00:00 10/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 22.973 u1: ml/cmH st: NotStopd t0: [05:00:00 10/11/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 61.1765 u1: units st: NotStopd t0: [05:00:00 10/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [05:00:00 10/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:00:00 10/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 10/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 10/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 10/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [05:00:00 10/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [05:00:00 10/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [05:00:00 10/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [05:00:00 10/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 10/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 42 u1: cmH2O st: NotStopd t0: [05:00:00 10/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [05:00:00 10/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 20 u1: . st: NotStopd t0: [05:00:00 10/11/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 61.1765 u1: units st: NotStopd t0: [05:00:00 10/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [05:00:00 10/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [05:00:00 10/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 10/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [05:00:00 10/11/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [05:00:00 10/11/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.425 u1: L st: NotStopd t0: [05:00:00 10/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [05:00:00 10/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 10/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 830 u1: ml/B st: NotStopd t0: [05:00:00 10/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 850 u1: ml/B st: NotStopd t0: [05:00:00 10/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 409 u1: ml/B st: NotStopd t0: [05:00:00 10/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [05:00:00 10/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [05:00:00 10/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd
t0: [04:00:00 10/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.2 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 11.2 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 32.4 u1: % rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.6 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.71 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.2 rs: Final st: NotStopd
t0: [04:00:00 10/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.4 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 28.9 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.4 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 28.9 rs: Final st: NotStopd
t0: [05:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [05:00:00 10/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.63538 u1: ... st: NotStopd t0: [05:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 10/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Agitated st: NotStopd t0: [05:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 10/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 123 rs: Manual st: NotStopd t0: [05:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [05:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [05:00:00 10/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [05:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [05:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 10/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 10/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [05:00:00 10/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.04888 u1: kg x m st: NotStopd t0: [05:00:00 10/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.52708 u1: ... st: NotStopd t0: [05:00:00 10/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 72.42 u1: g * m st: NotStopd t0: [05:00:00 10/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.9928 u1: g*m/m2 st: NotStopd t0: [05:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 50 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [05:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 10/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [05:00:00 10/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [05:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 10/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 165.6 u1: kg st: NotStopd t0: [05:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:00:00 10/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.0758 u1: ... st: NotStopd t0: [05:00:00 10/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 569.863 u1: ... st: NotStopd t0: [05:00:00 10/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1575.76 u1: ... st: NotStopd t0: [05:00:00 10/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 75.2577 u1: ml st: NotStopd t0: [05:00:00 10/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [05:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [05:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [05:00:00 10/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [05:00:00 10/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 10/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 123 rs: Manual st: NotStopd t0: [05:00:00 10/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.3 u1: L/min st: NotStopd t0: [05:30:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN u1: mmHg u2: mmHg st: NotStopd
t0: [05:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [05:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [05:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [05:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml t0: [05:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 30 vu: ml t0: [05:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [05:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [05:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 10/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 132 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 132 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [04:00:00 10/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd
t0: [06:00:00 10/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [06:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 10/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [06:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 10/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 113 rs: Manual st: NotStopd t0: [06:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [06:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [06:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 10/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [06:00:00 10/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [06:00:00 10/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [06:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [06:00:00 10/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 10/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [06:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [06:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [06:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 10/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 113 rs: Manual st: NotStopd
t0: [06:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [06:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [06:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [06:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 30 vu: ml t0: [06:00:00 10/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [06:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [06:00:00 10/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [06:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [06:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 10/11/2016] id: Vancomycin/Trough Drug Level el: 0 cu: CSRU cg: 3161 v1: 13.2 rs: Final st: NotStopd
t0: [07:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [07:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [07:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [07:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [07:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [07:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [07:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [07:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 10/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [07:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [07:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [07:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [07:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [07:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [07:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [07:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 30 vu: ml t0: [07:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [07:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [07:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [08:09:00 10/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [08:09:00 10/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [08:09:00 10/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [08:09:00 10/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [08:09:00 10/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 121 u1: mmHg rs: Final st: NotStopd t0: [08:09:00 10/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd
t0: [07:00:00 10/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [07:00:00 10/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 10/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [07:00:00 10/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [07:00:00 10/11/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 10/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [07:00:00 10/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [07:00:00 10/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 10/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 10/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 10/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 10/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 10/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [08:00:00 10/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 10/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 10/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 10/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [08:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 138 rs: Manual st: NotStopd t0: [08:00:00 10/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 10/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 10/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Suctioning st: NotStopd t0: [08:00:00 10/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 10/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 10/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 10/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 10/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 10/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 10/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 10/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [08:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 10/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 10/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 10/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 10/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 10/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 10/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 10/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 10/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 10/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 10/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 10/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 10/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 10/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 10/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 10/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 10/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [08:00:00 10/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [08:00:00 10/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [08:00:00 10/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:00:00 10/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 10/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 10/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 10/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [08:00:00 10/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 10/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 10/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 10/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 10/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [08:00:00 10/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 10/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 10/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 10/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 10/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 10/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 10/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 10/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 10/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 10/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [08:00:00 10/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 10/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 10/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 10/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 10/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 10/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 10/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 10/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [08:00:00 10/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 10/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 10/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [08:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [08:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [08:00:00 10/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [08:00:00 10/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 10/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 10/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 10/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd t0: [08:00:00 10/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 10/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 138 rs: Manual st: NotStopd t0: [08:00:00 10/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [08:00:00 10/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 10/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 10/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 10/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [08:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [08:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [08:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [08:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [08:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 40 vu: ml t0: [08:00:00 10/11/2016] tf: [21:00:00 11/11/2016] dt: 2220 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [08:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [08:00:00 10/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [08:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [08:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [08:36:00 10/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [08:36:00 10/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:36:00 10/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:36:00 10/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:36:00 10/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:36:00 10/11/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [08:36:00 10/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [08:36:00 10/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [08:36:00 10/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:36:00 10/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.5 u1: L/min st: NotStopd t0: [08:36:00 10/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:36:00 10/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 19 u1: . st: NotStopd t0: [08:36:00 10/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:36:00 10/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:36:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [08:36:00 10/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thin st: NotStopd t0: [08:36:00 10/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [08:36:00 10/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 531 u1: ml/B st: NotStopd t0: [08:36:00 10/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 531 u1: ml/B st: NotStopd t0: [08:36:00 10/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:36:00 10/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
tf: [10:00:00 11/11/2016] pt: IV Piggyback rt: IV fr: TITRATE TO m1: Milrinone v1: 20 u1: mg m2: D5W v2: 100 u2: ml
t0: [09:00:00 10/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [09:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 10/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [09:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 10/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 195 rs: Manual st: NotStopd t0: [09:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [09:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [09:00:00 10/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [09:00:00 10/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [09:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 10/11/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [09:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 10/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [09:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [09:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [09:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 10/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 195 rs: Manual st: NotStopd
t0: [09:00:00 10/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [09:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [09:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [09:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml t0: [09:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 30 vu: ml t0: [09:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [09:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [09:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip
tf: [10:00:00 11/11/2016] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [10:28:00 10/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [10:28:00 10/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [10:28:00 10/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [10:28:00 10/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [10:28:00 10/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 114 u1: mmHg rs: Final st: NotStopd t0: [10:28:00 10/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd
t0: [10:28:00 10/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31 u1: % rs: Final st: NotStopd t0: [10:28:00 10/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.22 rs: Final st: NotStopd
t0: [10:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [10:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 10/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 146 rs: Manual st: NotStopd t0: [10:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [10:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 10/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [10:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [10:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [10:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 10/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 146 rs: Manual st: NotStopd
t0: [10:00:00 10/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [10:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [10:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml t0: [10:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [10:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml t0: [10:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 30 vu: ml t0: [10:00:00 10/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [10:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 500 vu: ml t0: [10:00:00 10/11/2016] tf: [04:00:00 11/11/2016] dt: 1080 id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [10:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [10:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 10/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [10:00:00 10/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [10:00:00 10/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 18 u1: . st: NotStopd t0: [10:00:00 10/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [10:00:00 10/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
id: Heparin el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [10:00:00 10/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml
t0: [10:00:00 10/11/2016] tf: [15:18:00 28/11/2016] dt: 26238 id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [11:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [11:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [11:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [11:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [11:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [11:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [11:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [12:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [12:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [12:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [12:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [12:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [12:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 10/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [12:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [12:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [12:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 10/11/2016] tf: [13:00:00 14/11/2016] dt: 5820 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 20 vu: ml t0: [12:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 20 vu: ml t0: [12:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 8 vu: ml t0: [12:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [12:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [12:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 60 vu: ml
t0: [11:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [11:00:00 10/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip t0: [12:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [12:00:00 10/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 10/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 10/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 10/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 10/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 10/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [10:00:00 10/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 10/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 10/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 10/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [10:00:00 10/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [10:28:00 10/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd t0: [10:28:00 10/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd t0: [11:00:00 10/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 133 rs: Manual st: NotStopd t0: [11:00:00 10/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 10/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 133 rs: Manual st: NotStopd t0: [12:00:00 10/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 10/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 10/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [12:00:00 10/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 10/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 10/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 10/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [12:00:00 10/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:25:00 10/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [12:25:00 10/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:25:00 10/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:25:00 10/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:25:00 10/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [12:25:00 10/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [12:25:00 10/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [12:25:00 10/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10.9 u1: cmH2O st: NotStopd t0: [12:25:00 10/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13.5 u1: L/min st: NotStopd t0: [12:25:00 10/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:25:00 10/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 18 u1: . st: NotStopd t0: [12:25:00 10/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [12:25:00 10/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:25:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 95 u1: % st: NotStopd t0: [12:25:00 10/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 613 u1: ml/B st: NotStopd t0: [12:25:00 10/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 613 u1: ml/B st: NotStopd t0: [12:25:00 10/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:25:00 10/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [12:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [13:00:00 10/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 107 rs: Manual st: NotStopd t0: [13:00:00 10/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 107 rs: Manual st: NotStopd
t0: [13:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [13:00:00 10/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.02166 u1: ... st: NotStopd t0: [13:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [13:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 10/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.25504 u1: kg x m st: NotStopd t0: [13:00:00 10/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.91336 u1: ... st: NotStopd t0: [13:00:00 10/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 49.7352 u1: g * m st: NotStopd t0: [13:00:00 10/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 18.0505 u1: g*m/m2 st: NotStopd t0: [13:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [13:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [13:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 10/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 19.1336 u1: ... st: NotStopd t0: [13:00:00 10/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 457.143 u1: ... st: NotStopd t0: [13:00:00 10/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1267.33 u1: ... st: NotStopd t0: [13:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 10/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 53.3333 u1: ml st: NotStopd t0: [13:00:00 10/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [13:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [13:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [13:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 10/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.6 u1: L/min st: NotStopd
t0: [13:00:00 10/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 10 vu: ml t0: [13:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [13:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml t0: [13:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [13:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 1.36312 vu: ml t0: [13:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 30 vu: ml t0: [13:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [13:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [13:00:00 10/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [13:00:00 10/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [13:00:00 10/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [10:00:00 10/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 10/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [13:00:00 10/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [14:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [14:00:00 10/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.87726 u1: ... st: NotStopd t0: [14:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [14:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 10/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.5968 u1: kg x m st: NotStopd t0: [14:00:00 10/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.66065 u1: ... st: NotStopd t0: [14:00:00 10/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 45.084 u1: g * m st: NotStopd t0: [14:00:00 10/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 16.2455 u1: g*m/m2 st: NotStopd t0: [14:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [14:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [14:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:00:00 10/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 18.4116 u1: ... st: NotStopd t0: [14:00:00 10/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 553.846 u1: ... st: NotStopd t0: [14:00:00 10/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1531.91 u1: ... st: NotStopd t0: [14:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 10/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 50.9804 u1: ml st: NotStopd t0: [14:00:00 10/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [14:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [14:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [14:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 10/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.2 u1: L/min st: NotStopd
t0: [14:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [14:00:00 10/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [15:00:00 10/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 108 rs: Manual st: NotStopd t0: [15:00:00 10/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 10/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 10/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 10/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [15:00:00 10/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [15:00:00 10/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [15:00:00 10/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 108 rs: Manual st: NotStopd
t0: [15:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [15:00:00 10/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.69675 u1: ... st: NotStopd t0: [15:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [15:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 10/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.34656 u1: kg x m st: NotStopd t0: [15:00:00 10/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.55235 u1: ... st: NotStopd t0: [15:00:00 10/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 41.616 u1: g * m st: NotStopd t0: [15:00:00 10/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 15.1625 u1: g*m/m2 st: NotStopd t0: [15:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [15:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [15:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:00:00 10/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 16.2455 u1: ... st: NotStopd t0: [15:00:00 10/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 629.787 u1: ... st: NotStopd t0: [15:00:00 10/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1741.18 u1: ... st: NotStopd t0: [15:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 10/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 45.1923 u1: ml st: NotStopd t0: [15:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [15:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [15:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 10/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.7 u1: L/min st: NotStopd
t0: [15:00:00 10/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 20 vu: ml t0: [15:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 20 vu: ml t0: [15:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 8 vu: ml t0: [15:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [15:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 1.36312 vu: ml t0: [15:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 60 vu: ml t0: [15:00:00 10/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 90 vu: ml t0: [15:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [15:00:00 10/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [15:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [15:00:00 10/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [15:30:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:30:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [15:30:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:30:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [15:30:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [15:30:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:30:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [15:30:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:30:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:30:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [15:30:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:30:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [15:30:00 10/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:30:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [15:40:00 10/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 16 u1: . st: NotStopd
t0: [16:09:00 10/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [16:09:00 10/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:09:00 10/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:09:00 10/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:09:00 10/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [16:09:00 10/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [16:09:00 10/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [16:09:00 10/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:09:00 10/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.9 u1: L/min st: NotStopd t0: [16:09:00 10/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:09:00 10/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 16 u1: . st: NotStopd t0: [16:09:00 10/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:09:00 10/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:09:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 95 u1: % st: NotStopd t0: [16:09:00 10/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Clear v2: Thin st: NotStopd t0: [16:09:00 10/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [16:09:00 10/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 545 u1: ml/B st: NotStopd t0: [16:09:00 10/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 545 u1: ml/B st: NotStopd t0: [16:09:00 10/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:09:00 10/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [16:13:00 10/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [16:13:00 10/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [16:13:00 10/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [16:13:00 10/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [16:13:00 10/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [16:13:00 10/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [16:13:00 10/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.22 rs: Final st: NotStopd
t0: [16:26:00 10/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.5 rs: Final st: NotStopd t0: [16:26:00 10/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [16:26:00 10/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 32.8 rs: Final st: NotStopd t0: [16:26:00 10/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [16:26:00 10/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.5 rs: Final st: NotStopd t0: [16:26:00 10/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 32.8 rs: Final st: NotStopd
t0: [12:00:00 10/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 10/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 10/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 10/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 10/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 10/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 10/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 10/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 10/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 10/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 10/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 10/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 10/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 10/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [12:00:00 10/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 10/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 10/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 10/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 10/11/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 10/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 10/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 10/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 10/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 10/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 10/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 10/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 10/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 10/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 10/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 10/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 10/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 10/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 10/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 10/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 10/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 10/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [12:00:00 10/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 10/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 10/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 10/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [12:00:00 10/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 10/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 10/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 10/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 10/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 10/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 10/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 10/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 10/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 10/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 10/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 10/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 10/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 10/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 10/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 10/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 10/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 10/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 10/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 10/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd t0: [12:00:00 10/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [12:00:00 10/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 10/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 10/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 10/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [13:00:00 10/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 10/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [14:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 10/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 10/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [16:00:00 10/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 10/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 10/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 92 rs: Manual st: NotStopd t0: [16:00:00 10/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 10/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [16:00:00 10/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 10/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 10/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 10/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 10/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 10/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 117 u1: BPM st: NotStopd t0: [16:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 10/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 10/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 10/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 10/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 10/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 10/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 10/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 10/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 10/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 10/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 10/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 10/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [16:00:00 10/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [16:00:00 10/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [16:00:00 10/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:00:00 10/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [16:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 10/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [16:00:00 10/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [16:00:00 10/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 10/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 10/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 10/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 10/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 10/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 10/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 10/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 10/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 10/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 10/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [16:00:00 10/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 10/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 10/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 10/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [16:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [16:00:00 10/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 10/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 10/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 10/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd t0: [16:00:00 10/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 92 rs: Manual st: NotStopd t0: [16:00:00 10/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [16:00:00 10/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 10/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 10/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 10/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [16:13:00 10/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 4 rs: Final st: NotStopd t0: [16:13:00 10/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4 rs: Final st: NotStopd t0: [17:00:00 10/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [17:00:00 10/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.34657 u1: ... st: NotStopd t0: [17:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [17:00:00 10/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [17:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [17:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 10/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [17:00:00 10/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [17:00:00 10/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [17:00:00 10/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [17:00:00 10/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [17:00:00 10/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [17:00:00 10/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 10/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 10/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 10/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 10/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.6576 u1: kg x m st: NotStopd t0: [17:00:00 10/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.05776 u1: ... st: NotStopd t0: [17:00:00 10/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.9648 u1: g * m st: NotStopd t0: [17:00:00 10/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 19.4946 u1: g*m/m2 st: NotStopd t0: [17:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [17:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:00:00 10/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [17:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [17:00:00 10/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [17:00:00 10/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 10/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.3827 u1: ... st: NotStopd t0: [17:00:00 10/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 443.077 u1: ... st: NotStopd t0: [17:00:00 10/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1225.53 u1: ... st: NotStopd t0: [17:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 10/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61.9048 u1: ml st: NotStopd t0: [17:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [17:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [17:00:00 10/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [17:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 10/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [16:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 30 vu: ml t0: [17:00:00 10/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 20 vu: ml t0: [17:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 20 vu: ml t0: [17:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [17:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 19.0837 vu: ml t0: [17:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [17:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 40 vu: ml t0: [17:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [16:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [16:00:00 10/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip t0: [17:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [17:00:00 10/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [06:00:00 11/11/2016] pt: Unit Dose rt: IV fr: Q8H fs: 17, 1, 9 dn: 3 m1: Furosemide v1: 60 u1: mg
t0: [17:00:00 10/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 70 rs: Manual st: NotStopd t0: [17:00:00 10/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 70 rs: Manual st: NotStopd
t0: [17:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [11:00:00 10/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [17:00:00 10/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
t0: [18:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [18:00:00 10/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.34657 u1: ... st: NotStopd t0: [18:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 10/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 93 rs: Manual st: NotStopd t0: [18:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [18:00:00 10/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 118 u1: BPM st: NotStopd t0: [18:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 10/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 10/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 10/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.4532 u1: kg x m st: NotStopd t0: [18:00:00 10/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.34657 u1: ... st: NotStopd t0: [18:00:00 10/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 54.604 u1: g * m st: NotStopd t0: [18:00:00 10/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 19.8556 u1: g*m/m2 st: NotStopd t0: [18:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [18:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [18:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [18:00:00 10/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 10/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 10/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 19.8556 u1: ... st: NotStopd t0: [18:00:00 10/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 516.923 u1: ... st: NotStopd t0: [18:00:00 10/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1429.79 u1: ... st: NotStopd t0: [18:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 10/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55.0847 u1: ml st: NotStopd t0: [18:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [18:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [18:00:00 10/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [18:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 10/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 93 rs: Manual st: NotStopd t0: [18:00:00 10/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [18:00:00 10/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 12 vu: ml t0: [18:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [18:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.5 vu: ml t0: [18:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [18:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [18:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 40 vu: ml t0: [18:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [18:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [18:00:00 10/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.75 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [19:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [19:00:00 10/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.38267 u1: ... st: NotStopd t0: [19:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [19:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 10/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [19:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 126 u1: BPM st: NotStopd t0: [19:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 10/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [19:00:00 10/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [19:00:00 10/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.89888 u1: kg x m st: NotStopd t0: [19:00:00 10/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.85199 u1: ... st: NotStopd t0: [19:00:00 10/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 62.2336 u1: g * m st: NotStopd t0: [19:00:00 10/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.3827 u1: g*m/m2 st: NotStopd t0: [19:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [19:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [19:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [19:00:00 10/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [19:00:00 10/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [19:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [19:00:00 10/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 18.7726 u1: ... st: NotStopd t0: [19:00:00 10/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 678.788 u1: ... st: NotStopd t0: [19:00:00 10/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1882.35 u1: ... st: NotStopd t0: [19:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [19:00:00 10/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [19:00:00 10/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [19:00:00 10/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.381 u1: ml st: NotStopd t0: [19:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [19:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [19:00:00 10/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [19:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 10/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.6 u1: L/min st: NotStopd
t0: [19:00:00 10/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 12 vu: ml t0: [19:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [19:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.75 vu: ml t0: [19:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [19:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [19:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 40 vu: ml t0: [19:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [19:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [19:00:00 10/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.75 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [20:00:00 10/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.45487 u1: ... st: NotStopd t0: [20:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 114 u1: BPM st: NotStopd t0: [20:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 10/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.65856 u1: kg x m st: NotStopd t0: [20:00:00 10/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.41877 u1: ... st: NotStopd t0: [20:00:00 10/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 58.752 u1: g * m st: NotStopd t0: [20:00:00 10/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 21.2996 u1: g*m/m2 st: NotStopd t0: [20:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [20:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [20:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [20:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 10/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 21.6606 u1: ... st: NotStopd t0: [20:00:00 10/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 600 u1: ... st: NotStopd t0: [20:00:00 10/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1665.31 u1: ... st: NotStopd t0: [20:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 10/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.6491 u1: ml st: NotStopd t0: [20:00:00 10/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 75 u1: % st: NotStopd t0: [20:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [20:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [20:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 10/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.8 u1: L/min st: NotStopd
t0: [20:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [20:00:00 10/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.75 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 10/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 10/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 10/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 10/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 10/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 10/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 10/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 10/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 21cm v2: Lip st: NotStopd t0: [20:00:00 10/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Suctioning st: NotStopd t0: [20:00:00 10/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 10/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 10/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 10/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 10/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 10/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 10/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 10/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 10/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [20:00:00 10/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 10/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 10/11/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 10/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 10/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 10/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 10/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 10/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 10/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 10/11/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 7.5 mm st: NotStopd t0: [20:00:00 10/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [20:00:00 10/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 10/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 10/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 10/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 10/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 10/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 10/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [20:00:00 10/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [20:00:00 10/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13.7 u1: L/min st: NotStopd t0: [20:00:00 10/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 10/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 10/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 10/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 10/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [20:00:00 10/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 10/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 10/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 10/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 10/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 10/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [20:00:00 10/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [20:00:00 10/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 10/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 10/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 10/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 10/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 10/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 10/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 16 u1: . st: NotStopd t0: [20:00:00 10/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 10/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 10/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 10/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 10/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 10/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 10/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 10/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 10/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 10/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 10/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 10/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 10/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 10/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 10/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 10/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 10/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [20:00:00 10/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 547 u1: ml/B st: NotStopd t0: [20:00:00 10/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [20:00:00 10/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 10/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 10/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 10/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [20:00:00 10/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 10/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [20:00:00 10/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 10/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 10/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 10/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [20:00:00 10/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 12 vu: ml t0: [20:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [20:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.75 vu: ml t0: [20:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [20:00:00 10/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 150 vu: ml t0: [20:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml t0: [20:00:00 10/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [20:30:00 10/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 118 rs: Manual st: NotStopd t0: [20:30:00 10/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 118 rs: Manual st: NotStopd
t0: [20:30:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:30:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [20:30:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:30:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:30:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 115 u1: BPM st: NotStopd t0: [20:30:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [20:30:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:30:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [20:30:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:30:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:30:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [20:30:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [21:00:00 10/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.05776 u1: ... st: NotStopd t0: [21:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [21:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [21:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 10/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.96128 u1: kg x m st: NotStopd t0: [21:00:00 10/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.80505 u1: ... st: NotStopd t0: [21:00:00 10/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.9648 u1: g * m st: NotStopd t0: [21:00:00 10/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 19.4946 u1: g*m/m2 st: NotStopd t0: [21:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [21:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [21:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [21:00:00 10/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.3827 u1: ... st: NotStopd t0: [21:00:00 10/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 533.333 u1: ... st: NotStopd t0: [21:00:00 10/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1475.73 u1: ... st: NotStopd t0: [21:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 10/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61.9565 u1: ml st: NotStopd t0: [21:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [21:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [21:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 10/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [20:30:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:30:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [20:30:00 10/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:30:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.75 du: Uhr sv: 50 su: ml rt: IV Drip t0: [21:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [21:00:00 10/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.75 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [21:00:00 10/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 21cm v2: Lip st: NotStopd t0: [21:00:00 10/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Suctioning st: NotStopd t0: [21:00:00 10/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [21:00:00 10/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [21:00:00 10/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [21:00:00 10/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [21:00:00 10/11/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 7.5 mm st: NotStopd t0: [21:00:00 10/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [21:00:00 10/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [21:00:00 10/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [21:00:00 10/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [21:00:00 10/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [21:00:00 10/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [21:00:00 10/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [21:00:00 10/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 10/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [21:00:00 10/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [21:00:00 10/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 10/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [21:00:00 10/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 10/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [21:00:00 10/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [21:00:00 10/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd
t0: [21:00:00 10/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 12 vu: ml t0: [21:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [21:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.75 vu: ml t0: [21:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [21:00:00 10/11/2016] tf: [00:00:00 13/11/2016] dt: 3060 id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 1.36312 vu: ml t0: [21:00:00 10/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [21:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [21:30:00 10/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:30:00 10/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [21:30:00 10/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [21:30:00 10/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [21:30:00 10/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd
t0: [20:00:00 10/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [20:00:00 10/11/2016] id: AaDO2 el: 0 cu: CSRU cg: 3161 v1: 148.2 u1: mmHg st: NotStopd t0: [20:00:00 10/11/2016] id: PAO2 el: 0 cu: CSRU cg: 3161 v1: 237.2 u1: mmHg st: NotStopd t0: [20:00:00 10/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [20:00:00 10/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [20:00:00 10/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [20:00:00 10/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 89 u1: mmHg rs: Final st: NotStopd t0: [20:00:00 10/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [20:00:00 10/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.13 rs: Final st: NotStopd
t0: [20:00:00 10/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd t0: [20:00:00 10/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd t0: [22:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [22:00:00 10/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.23827 u1: ... st: NotStopd t0: [22:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 10/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 124 rs: Manual st: NotStopd t0: [22:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [22:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 10/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.03552 u1: kg x m st: NotStopd t0: [22:00:00 10/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.08303 u1: ... st: NotStopd t0: [22:00:00 10/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 27.9072 u1: g * m st: NotStopd t0: [22:00:00 10/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 10.1083 u1: g*m/m2 st: NotStopd t0: [22:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [22:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [22:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [22:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 10/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 20.5776 u1: ... st: NotStopd t0: [22:00:00 10/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 206.452 u1: ... st: NotStopd t0: [22:00:00 10/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 571.429 u1: ... st: NotStopd t0: [22:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 10/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.4074 u1: ml st: NotStopd t0: [22:00:00 10/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [22:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [22:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [22:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 10/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 124 rs: Manual st: NotStopd t0: [22:00:00 10/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [22:00:00 10/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 12 vu: ml t0: [22:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 10/11/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.75 vu: ml t0: [22:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [22:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml t0: [22:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [22:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [22:00:00 10/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.75 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 10/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 90 ap: none
t0: [22:00:00 10/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
t0: [22:10:00 10/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [22:10:00 10/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 35.3 rs: Final st: NotStopd t0: [22:10:00 10/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [22:10:00 10/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 35.3 rs: Final st: NotStopd
t0: [00:00:00 11/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [00:00:00 11/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 11/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 11/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 11/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 11/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [00:00:00 11/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 11/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13.5 u1: L/min st: NotStopd t0: [00:00:00 11/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 11/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 16 u1: . st: NotStopd t0: [00:00:00 11/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [00:00:00 11/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:00:00 11/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 11/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [00:00:00 11/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 11/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [23:00:00 10/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RRT ai: 117 vo: 12 vu: ml t0: [23:00:00 10/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RRT ai: 168 vo: 10 vu: ml t0: [23:00:00 10/11/2016] tf: [19:00:00 12/11/2016] dt: 2640 id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RRT ai: 209 vo: 0.75 vu: ml t0: [23:00:00 10/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RRT ai: 210 vo: 10.905 vu: ml t0: [23:00:00 10/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RRT ai: 210 vo: 2.72625 vu: ml t0: [23:00:00 10/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RRT vo: 100 vu: ml t0: [00:00:00 11/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RRT ai: 109 vo: 50 vu: ml t0: [00:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RRT ai: 117 vo: 12 vu: ml t0: [00:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RRT ai: 168 vo: 10 vu: ml t0: [00:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RRT ai: 209 vo: 0.75 vu: ml t0: [00:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RRT ai: 210 vo: 10.905 vu: ml t0: [00:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RRT ai: 210 vo: 2.72625 vu: ml t0: [00:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RRT vo: 120 vu: ml
t0: [20:00:00 10/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 10/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 10/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 10/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 10/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 10/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 10/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 10/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 10/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [22:00:00 10/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 10/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [22:00:00 10/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN st: NotStopd t0: [22:00:00 10/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 10/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [22:00:00 10/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 10/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:10:00 10/11/2016] id: PT el: 0 cu: CSRU cg: RN v1: 14.4 rs: Final st: NotStopd t0: [22:10:00 10/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: RN v1: 14.4 rs: Final st: NotStopd t0: [23:00:00 10/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 10/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [23:00:00 10/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 10/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 10/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 10/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 10/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 112 u1: BPM st: NotStopd t0: [23:00:00 10/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 10/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [23:00:00 10/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 10/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 10/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 10/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [23:00:00 10/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [23:00:00 10/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 10/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [23:00:00 10/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [23:00:00 10/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 11/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 11/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 11/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [00:00:00 11/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 11/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [00:00:00 11/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 11/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Agitated st: NotStopd t0: [00:00:00 11/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [00:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 11/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 11/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 11/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Suctioning st: NotStopd t0: [00:00:00 11/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 11/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 11/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 11/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 11/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 115 u1: BPM st: NotStopd t0: [00:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 11/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [00:00:00 11/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 11/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 11/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 11/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [00:00:00 11/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 11/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 11/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 11/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 11/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 11/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Lethargic st: NotStopd t0: [00:00:00 11/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [00:00:00 11/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [00:00:00 11/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 11/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 11/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 11/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [00:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [00:00:00 11/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 11/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [00:00:00 11/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 11/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 11/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 11/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 11/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 11/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 11/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 11/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [00:00:00 11/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 11/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 11/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 11/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 11/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 11/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [00:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [00:00:00 11/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [00:00:00 11/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [00:00:00 11/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [00:00:00 11/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [00:00:00 11/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 11/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 11/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 11/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [23:00:00 10/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 10/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [23:00:00 10/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 10/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.75 du: Uhr sv: 50 su: ml rt: IV Drip t0: [00:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [00:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [01:00:00 11/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 158 rs: Manual st: NotStopd t0: [01:00:00 11/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 158 rs: Manual st: NotStopd
t0: [01:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
tf: [09:00:00 11/11/2016] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml tf: [10:00:00 11/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 1 dn: 1 m1: Lorazepam v1: 1 u1: mg tf: [10:00:00 11/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 1 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [00:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.94946 u1: ... st: NotStopd t0: [00:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.70016 u1: kg x m st: NotStopd t0: [00:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.69675 u1: ... st: NotStopd t0: [00:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 40.9088 u1: g * m st: NotStopd t0: [00:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 14.8014 u1: g*m/m2 st: NotStopd t0: [00:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 16.9675 u1: ... st: NotStopd t0: [00:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 577.778 u1: ... st: NotStopd t0: [00:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1600 u1: ... st: NotStopd t0: [00:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 46.9565 u1: ml st: NotStopd t0: [00:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 76 u1: % st: NotStopd t0: [00:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.4 u1: L/min st: NotStopd t0: [01:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [01:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.94946 u1: ... st: NotStopd t0: [01:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 113 u1: BPM st: NotStopd t0: [01:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.84704 u1: kg x m st: NotStopd t0: [01:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.73285 u1: ... st: NotStopd t0: [01:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 43.0848 u1: g * m st: NotStopd t0: [01:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 15.5235 u1: g*m/m2 st: NotStopd t0: [01:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [01:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [01:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 17.3285 u1: ... st: NotStopd t0: [01:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 622.222 u1: ... st: NotStopd t0: [01:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1723.08 u1: ... st: NotStopd t0: [01:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [01:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 47.7876 u1: ml st: NotStopd t0: [01:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 76 u1: % st: NotStopd t0: [01:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [01:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [01:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.4 u1: L/min st: NotStopd t0: [02:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [02:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.94946 u1: ... st: NotStopd t0: [02:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 11/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN st: NotStopd t0: [02:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [02:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.18608 u1: kg x m st: NotStopd t0: [02:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.51625 u1: ... st: NotStopd t0: [02:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 39.5352 u1: g * m st: NotStopd t0: [02:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 14.4404 u1: g*m/m2 st: NotStopd t0: [02:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [02:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [02:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 18.4116 u1: ... st: NotStopd t0: [02:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 503.704 u1: ... st: NotStopd t0: [02:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1394.87 u1: ... st: NotStopd t0: [02:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 51.4286 u1: ml st: NotStopd t0: [02:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [02:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [02:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.4 u1: L/min st: NotStopd
t0: [01:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [01:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml t0: [01:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [02:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 14 vu: ml t0: [02:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [02:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [02:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml t0: [02:00:00 11/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [02:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml t0: [02:00:00 11/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [01:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [01:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [02:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 11/11/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN pv: 95 cv: 735 ap: none
t0: [02:00:00 11/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 144 rs: Manual st: NotStopd t0: [02:00:00 11/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 144 rs: Manual st: NotStopd t0: [02:15:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:15:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [02:15:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:15:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:15:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [02:15:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [02:15:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:15:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [02:15:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:15:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:15:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [02:15:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:15:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:15:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [02:15:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:15:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [02:28:00 11/11/2016] id: Mixed Venous O2 Blood Gases el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [02:28:00 11/11/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 58 rs: Final st: NotStopd
t0: [02:15:00 11/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.4 u1: % rs: Final st: NotStopd
t0: [02:15:00 11/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd t0: [02:15:00 11/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd t0: [03:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [03:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [03:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [03:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [03:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [03:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [03:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [03:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [03:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 11/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [03:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 14 vu: ml t0: [03:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [03:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2.75 vu: ml t0: [03:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [03:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml
t0: [03:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 11/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 395 cv: 395 ap: none t0: [23:00:00 11/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -220.006 cv: -220.006 ap: none t0: [23:00:00 11/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 104.994 cv: 2617.19 ap: none t0: [23:00:00 11/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 174.994 cv: 4347.19 ap: none t0: [23:00:00 11/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 70 cv: 1350 ap: none t0: [23:00:00 11/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 300 cv: 4570 ap: none t0: [23:00:00 11/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -220.006 cv: -957.811 ap: none t0: [23:00:00 11/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 395 cv: 5305 ap: none t0: [23:00:00 11/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -220.006 cv: 14700.2 ap: none
id: Insulin el: 101 cu: CSRU cg: RN io: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions am: 50 du: Uhr rt: IV Drip
t0: [03:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.23827 u1: ... st: NotStopd t0: [03:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.324 u1: kg x m st: NotStopd t0: [03:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.27437 u1: ... st: NotStopd t0: [03:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 58.14 u1: g * m st: NotStopd t0: [03:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 20.9386 u1: g*m/m2 st: NotStopd t0: [03:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 20.5776 u1: ... st: NotStopd t0: [03:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 567.742 u1: ... st: NotStopd t0: [03:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1571.43 u1: ... st: NotStopd t0: [03:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.4074 u1: ml st: NotStopd t0: [03:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 57 u1: % st: NotStopd t0: [03:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.2 u1: L/min st: NotStopd
id: .9% Normal Saline el: 1 cu: CSRU cg: RN io: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [03:30:00 11/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 147 rs: Manual st: NotStopd t0: [03:30:00 11/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 147 rs: Manual st: NotStopd
t0: [03:30:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 7 vu: ml t0: [03:30:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [03:30:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [03:30:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [03:30:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 1.36312 vu: ml t0: [03:30:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 20 vu: ml
t0: [03:30:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:30:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [03:30:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:30:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:30:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [03:30:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [03:30:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:30:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [03:30:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:30:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:30:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [03:30:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 14 vu: ml nb: 1 t0: [01:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1 vu: ml nb: 1 t0: [01:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml nb: 1 t0: [03:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml nb: 1
t0: [03:30:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:30:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:30:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [03:30:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [04:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 7 vu: ml t0: [04:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [04:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [04:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [04:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 1.36312 vu: ml t0: [04:00:00 11/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 65 vu: ml t0: [04:00:00 11/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [04:00:00 11/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
t0: [00:00:00 11/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 11/11/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 58.8235 u1: units st: NotStopd t0: [04:00:00 11/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [04:00:00 11/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 11/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 11/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 11/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 11/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [04:00:00 11/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 11/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [04:00:00 11/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [04:00:00 11/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 11/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 16 u1: . st: NotStopd t0: [04:00:00 11/11/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 58.8235 u1: units st: NotStopd t0: [04:00:00 11/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 11/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:00:00 11/11/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 11/11/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.34 u1: L st: NotStopd t0: [04:00:00 11/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:00:00 11/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 11/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [04:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RRT v1: CSRU st: NotStopd t0: [04:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RRT v1: 26 u1: mmHg st: NotStopd t0: [04:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RRT v1: 1.87726 u1: ... st: NotStopd t0: [04:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RRT v1: Full Code st: NotStopd t0: [04:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RRT v1: Occasional st: NotStopd t0: [04:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RRT v1: PVC's st: NotStopd t0: [04:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RRT v1: 103 u1: BPM st: NotStopd t0: [04:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RRT v1: Sinus Tachy st: NotStopd t0: [04:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RRT v1: 4.52608 u1: kg x m st: NotStopd t0: [04:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RRT v1: 1.62455 u1: ... st: NotStopd t0: [04:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RRT v1: 43.52 u1: g * m st: NotStopd t0: [04:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RRT v1: 15.8845 u1: g*m/m2 st: NotStopd t0: [04:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RRT v1: 60 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [04:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RRT v1: 85 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RRT v1: 64 u1: mmHg st: NotStopd t0: [04:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RRT v1: Contact st: NotStopd t0: [04:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [04:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RRT v1: 18.0505 u1: ... st: NotStopd t0: [04:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RRT v1: 584.615 u1: ... st: NotStopd t0: [04:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RRT v1: 1617.02 u1: ... st: NotStopd t0: [04:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RRT v1: 50.4854 u1: ml st: NotStopd t0: [04:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RRT v1: 61 u1: % st: NotStopd t0: [04:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RRT v1: Blood st: NotStopd t0: [04:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RRT v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RRT v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RRT v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RRT v1: 5.2 u1: L/min st: NotStopd
t0: [04:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RRT vo: 45 vu: ml
t0: [04:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RRT so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RRT so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [04:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RRT so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RRT so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [04:30:00 11/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 140 rs: Manual st: NotStopd t0: [04:30:00 11/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 140 rs: Manual st: NotStopd
t0: [05:04:00 11/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.33 rs: Final st: NotStopd t0: [05:04:00 11/11/2016] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [05:04:00 11/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [05:04:00 11/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [05:04:00 11/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 58 u1: mmHg rs: Final st: NotStopd t0: [05:04:00 11/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 93 u1: mmHg rs: Final st: NotStopd t0: [05:04:00 11/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.33 rs: Final st: NotStopd t0: [05:04:00 11/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.18 rs: Final st: NotStopd t0: [05:04:00 11/11/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [05:04:00 11/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 96 u1: % rs: Final st: NotStopd
t0: [04:45:00 11/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.4 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 8.4 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Differential-Basos Hematology el: 0 cu: CSRU cg: 3161 v1: 0.2 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Differential-Eos Hematology el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Differential-Lymphs Hematology el: 0 cu: CSRU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Differential-Monos Hematology el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Differential-Polys Hematology el: 0 cu: CSRU cg: 3161 v1: 82.6 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31.3 u1: % rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.54 u1: /mic l rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.4 rs: Final st: NotStopd t0: [05:04:00 11/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.4096 u1: ml/dl st: NotStopd
t0: [05:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [05:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.02166 u1: ... st: NotStopd t0: [05:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [05:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.63584 u1: kg x m st: NotStopd t0: [05:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.02166 u1: ... st: NotStopd t0: [05:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 54.3456 u1: g * m st: NotStopd t0: [05:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 19.4946 u1: g*m/m2 st: NotStopd t0: [05:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [05:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [05:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [05:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 19.4946 u1: ... st: NotStopd t0: [05:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 642.857 u1: ... st: NotStopd t0: [05:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1782.18 u1: ... st: NotStopd t0: [05:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 53.8462 u1: ml st: NotStopd t0: [05:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 58 u1: % st: NotStopd t0: [05:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [05:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [05:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.6 u1: L/min st: NotStopd t0: [05:04:00 11/11/2016] id: DO2 el: 0 cu: CSRU cg: RN v1: 728 u1: ml/min st: NotStopd t0: [05:04:00 11/11/2016] id: DO2I el: 0 cu: CSRU cg: RN v1: 262.6 u1: ml/m/m st: NotStopd t0: [05:04:00 11/11/2016] id: zzO2AV el: 0 cu: CSRU cg: RN v1: 728 u1: ml/min st: NotStopd t0: [05:04:00 11/11/2016] id: zzO2AVI el: 0 cu: CSRU cg: RN v1: 262.816 u1: ml/m/m st: NotStopd t0: [05:04:00 11/11/2016] id: O2AV el: 0 cu: CSRU cg: RN v1: 728 u1: ml/min st: NotStopd t0: [05:04:00 11/11/2016] id: O2AVI el: 0 cu: CSRU cg: RN v1: 262.816 u1: ml/m/m st: NotStopd
t0: [05:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [05:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [21:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [22:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [23:00:00 10/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [00:00:00 11/11/2016] tf: [08:00:00 12/11/2016] dt: 1920 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 30 vu: ml t0: [00:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [01:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [02:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [03:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [04:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [05:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 14 vu: ml t0: [05:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [05:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml t0: [05:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [05:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml t0: [05:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [05:00:00 11/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [05:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [05:00:00 11/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [05:00:00 11/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 11/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 11/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [05:00:00 11/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 18 u1: . st: NotStopd t0: [05:00:00 11/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [04:45:00 11/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 153 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.1 u1: mEq/L rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 153 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.1 u1: mEq/L rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [04:45:00 11/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd
t0: [06:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 14 vu: ml t0: [06:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml t0: [06:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [06:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml t0: [06:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [06:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [06:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [06:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.23827 u1: ... st: NotStopd t0: [06:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 11/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 148 rs: Manual st: NotStopd t0: [06:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [06:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.98672 u1: kg x m st: NotStopd t0: [06:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.16606 u1: ... st: NotStopd t0: [06:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 60.8328 u1: g * m st: NotStopd t0: [06:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.0217 u1: g*m/m2 st: NotStopd t0: [06:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [06:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [06:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [06:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.7437 u1: ... st: NotStopd t0: [06:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 554.839 u1: ... st: NotStopd t0: [06:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1535.71 u1: ... st: NotStopd t0: [06:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 62.6263 u1: ml st: NotStopd t0: [06:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [06:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [06:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 11/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 148 rs: Manual st: NotStopd t0: [06:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [05:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip t0: [06:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [06:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 11/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [06:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [06:00:00 11/11/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.92111 u1: m2 st: NotStopd t0: [06:00:00 11/11/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 2.22167 u1: m2 st: NotStopd t0: [06:00:00 11/11/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [06:00:00 11/11/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd
t0: [07:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 14 vu: ml t0: [07:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [07:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [07:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [07:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml t0: [07:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [07:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [06:07:00 11/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 13.9 rs: Final st: NotStopd t0: [06:07:00 11/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [06:07:00 11/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 27.1 rs: Final st: NotStopd t0: [06:07:00 11/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [06:07:00 11/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.9 rs: Final st: NotStopd t0: [06:07:00 11/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 27.1 rs: Final st: NotStopd
t0: [00:00:00 11/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN st: NotStopd t0: [05:00:00 11/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [05:00:00 11/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [05:00:00 11/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [05:00:00 11/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [05:00:00 11/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [05:00:00 11/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [05:00:00 11/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [05:00:00 11/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [05:00:00 11/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [05:00:00 11/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Suctioning st: NotStopd t0: [05:00:00 11/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 11/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [05:00:00 11/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [05:00:00 11/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Abdomen st: NotStopd t0: [05:00:00 11/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [05:00:00 11/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [05:00:00 11/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [05:00:00 11/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [05:00:00 11/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [05:00:00 11/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [05:00:00 11/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [05:00:00 11/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [05:00:00 11/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 11/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [05:00:00 11/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 11/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [05:00:00 11/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 11/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 11/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 11/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [05:00:00 11/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [05:00:00 11/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [05:00:00 11/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [05:00:00 11/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [05:00:00 11/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [05:00:00 11/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [05:00:00 11/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [05:00:00 11/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [05:00:00 11/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [05:00:00 11/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [05:00:00 11/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [05:00:00 11/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 11/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [05:00:00 11/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [05:00:00 11/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [05:00:00 11/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 11/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [05:00:00 11/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [05:00:00 11/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [05:00:00 11/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [05:00:00 11/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [05:00:00 11/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 11/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 11/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [05:00:00 11/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 11/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [05:00:00 11/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [05:00:00 11/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [05:00:00 11/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [05:00:00 11/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [05:00:00 11/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [05:00:00 11/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [07:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [07:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [07:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [07:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [07:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [07:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [07:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [07:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [07:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [07:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [07:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [07:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [07:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 11/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: 4312 v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 11/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: 4312 v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 11/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: 4312 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 11/11/2016] id: Airway Size el: 0 cu: CSRU cg: 4312 v1: 7.5 mm st: NotStopd t0: [08:00:00 11/11/2016] id: Airway Type el: 0 cu: CSRU cg: 4312 v1: Endotracheal st: NotStopd t0: [08:00:00 11/11/2016] id: Intubation Date el: 0 cu: CSRU cg: 4312 v1: 9 v2: 22 st: NotStopd t0: [08:00:00 11/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: 4312 v1: 5 st: NotStopd t0: [08:00:00 11/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: 4312 v1: 11 u1: L/min st: NotStopd t0: [08:00:00 11/11/2016] id: PEEP Set el: 0 cu: CSRU cg: 4312 v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 11/11/2016] id: Pressure Support el: 0 cu: CSRU cg: 4312 v1: 18 u1: . st: NotStopd t0: [08:00:00 11/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: 4312 v1: 25 u1: BPM st: NotStopd t0: [08:00:00 11/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: 4312 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: 4312 v1: 96 u1: % st: NotStopd t0: [08:00:00 11/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: 4312 v1: 559 u1: ml/B st: NotStopd t0: [08:00:00 11/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: 4312 v1: CPAP+PS st: NotStopd t0: [08:00:00 11/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: 4312 v1: Servo 900c st: NotStopd
t0: [08:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [08:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.12996 u1: ... st: NotStopd t0: [08:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [08:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [08:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.69704 u1: kg x m st: NotStopd t0: [08:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.05776 u1: ... st: NotStopd t0: [08:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 55.0392 u1: g * m st: NotStopd t0: [08:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 19.8556 u1: g*m/m2 st: NotStopd t0: [08:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [08:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [08:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [08:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [08:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [08:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 20.5776 u1: ... st: NotStopd t0: [08:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 637.288 u1: ... st: NotStopd t0: [08:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1765.26 u1: ... st: NotStopd t0: [08:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.2816 u1: ml st: NotStopd t0: [08:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 59 u1: % st: NotStopd t0: [08:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [08:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [08:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 14 vu: ml t0: [08:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [08:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [08:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [08:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml t0: [08:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [08:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [08:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [08:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1400 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
id: Amiodarone el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions am: 600 du: mgmin rt: IV Drip
tf: [16:00:00 11/11/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Amiodarone HCl v1: 600 u1: mg m2: D5W (EXCEL BAG) v2: 250 u2: ml tf: [17:00:00 11/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Amiodarone HCl v1: 150 u1: mg tf: [05:00:00 28/11/2016] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml tf: [09:00:00 28/11/2016] pt: Unit Dose rt: NG fr: QD fs: 10 dn: 1 m1: Multivitamins v1: 1 u1: CAP tf: [19:00:00 28/11/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Zinc Sulfate v1: 220 u1: mg
id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [10:21:00 11/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [10:21:00 11/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [10:21:00 11/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [10:21:00 11/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [10:21:00 11/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 69 u1: mmHg rs: Final st: NotStopd t0: [10:21:00 11/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [10:21:00 11/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.17 rs: Final st: NotStopd
t0: [09:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [09:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.98556 u1: ... st: NotStopd t0: [09:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 11/11/2016] id: Ectopy Frequency 2 el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 11/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [09:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [09:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.862 u1: kg x m st: NotStopd t0: [09:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.76895 u1: ... st: NotStopd t0: [09:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 45.084 u1: g * m st: NotStopd t0: [09:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 16.2455 u1: g*m/m2 st: NotStopd t0: [09:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [09:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [09:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [09:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [09:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 18.4116 u1: ... st: NotStopd t0: [09:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 640 u1: ... st: NotStopd t0: [09:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1768.84 u1: ... st: NotStopd t0: [09:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 51.4019 u1: ml st: NotStopd t0: [09:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 57 u1: % st: NotStopd t0: [09:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [09:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [09:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.5 u1: L/min st: NotStopd t0: [09:50:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:50:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [09:50:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:50:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:50:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 160 u1: BPM st: NotStopd t0: [09:50:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [09:50:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 40.256 u1: g * m st: NotStopd t0: [09:50:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 14.4404 u1: g*m/m2 st: NotStopd t0: [09:50:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [09:50:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:50:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [09:50:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:50:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [09:50:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [09:50:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 706.667 u1: ... st: NotStopd t0: [09:50:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [09:50:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 53 u1: % st: NotStopd t0: [09:50:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:50:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [09:50:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [09:50:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [10:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.16606 u1: ... st: NotStopd t0: [10:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 151 u1: BPM st: NotStopd t0: [10:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.4672 u1: kg x m st: NotStopd t0: [10:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.98556 u1: ... st: NotStopd t0: [10:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 36.448 u1: g * m st: NotStopd t0: [10:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 12.9964 u1: g*m/m2 st: NotStopd t0: [10:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [10:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [10:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 11/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [10:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [10:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 14.4404 u1: ... st: NotStopd t0: [10:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 626.667 u1: ... st: NotStopd t0: [10:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1732.72 u1: ... st: NotStopd t0: [10:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [10:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 39.7351 u1: ml st: NotStopd t0: [10:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 53 u1: % st: NotStopd t0: [10:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [10:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [10:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd t0: [10:15:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:15:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [10:15:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.20217 u1: ... st: NotStopd t0: [10:15:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:15:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:15:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 146 u1: BPM st: NotStopd t0: [10:15:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [10:15:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.06056 u1: kg x m st: NotStopd t0: [10:15:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.84116 u1: ... st: NotStopd t0: [10:15:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 34.8432 u1: g * m st: NotStopd t0: [10:15:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 12.6354 u1: g*m/m2 st: NotStopd t0: [10:15:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [10:15:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:15:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [10:15:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:15:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [10:15:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:15:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 15.1625 u1: ... st: NotStopd t0: [10:15:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 524.59 u1: ... st: NotStopd t0: [10:15:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1454.55 u1: ... st: NotStopd t0: [10:15:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [10:15:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 41.7808 u1: ml st: NotStopd t0: [10:15:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 54 u1: % st: NotStopd t0: [10:15:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:15:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.1 u1: L/min st: NotStopd t0: [10:21:00 11/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 160 rs: Final st: NotStopd t0: [10:21:00 11/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 160 rs: Final st: NotStopd t0: [10:30:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:30:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [10:30:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.20217 u1: ... st: NotStopd t0: [10:30:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:30:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 141 u1: BPM st: NotStopd t0: [10:30:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [10:30:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.9776 u1: kg x m st: NotStopd t0: [10:30:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.80505 u1: ... st: NotStopd t0: [10:30:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 35.088 u1: g * m st: NotStopd t0: [10:30:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 12.6354 u1: g*m/m2 st: NotStopd t0: [10:30:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [10:30:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:30:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [10:30:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:30:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [10:30:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:30:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 15.5235 u1: ... st: NotStopd t0: [10:30:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 498.361 u1: ... st: NotStopd t0: [10:30:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1381.82 u1: ... st: NotStopd t0: [10:30:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [10:30:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 43.2624 u1: ml st: NotStopd t0: [10:30:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 52 u1: % st: NotStopd t0: [10:30:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:30:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [10:30:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [10:30:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:30:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [09:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 14 vu: ml t0: [09:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [09:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [09:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml t0: [09:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [09:00:00 11/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [09:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [09:00:00 11/11/2016] tf: [06:00:00 12/11/2016] dt: 1260 id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [10:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17.6667 vu: ml t0: [10:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [10:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 7.83333 vu: ml t0: [10:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [10:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml t0: [10:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [10:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml t0: [10:30:00 11/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [10:30:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [09:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [09:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 50 su: ml rt: IV Drip t0: [09:50:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:50:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [09:50:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:50:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 50 su: ml rt: IV Drip t0: [10:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [10:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 50 su: ml rt: IV Drip t0: [10:15:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:15:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [10:15:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:15:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 50 su: ml rt: IV Drip t0: [10:30:00 11/11/2016] tf: [13:00:00 17/11/2016] dt: 8790 id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [10:30:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:30:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [11:00:00 11/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: 4312 v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 11/11/2016] id: Airway Type el: 0 cu: CSRU cg: 4312 v1: Endotracheal st: NotStopd
tf: [17:00:00 11/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Amiodarone HCl v1: 150 u1: mg tf: [09:00:00 13/11/2016] pt: IV Piggyback rt: IV fr: INFUSION m1: Milrinone v1: 20 u1: mg m2: D5W v2: 100 u2: ml
t0: [11:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [11:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.98556 u1: ... st: NotStopd t0: [11:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 136 u1: BPM st: NotStopd t0: [11:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.0864 u1: kg x m st: NotStopd t0: [11:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.84116 u1: ... st: NotStopd t0: [11:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 36.992 u1: g * m st: NotStopd t0: [11:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 13.3574 u1: g*m/m2 st: NotStopd t0: [11:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [11:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [11:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [11:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [11:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 14.4404 u1: ... st: NotStopd t0: [11:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 640 u1: ... st: NotStopd t0: [11:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1768.84 u1: ... st: NotStopd t0: [11:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [11:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 40.4412 u1: ml st: NotStopd t0: [11:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 55 u1: % st: NotStopd t0: [11:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [11:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [11:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.5 u1: L/min st: NotStopd
t0: [11:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [11:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [11:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 9 vu: ml t0: [11:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [11:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 3.40781 vu: ml t0: [11:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [11:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [11:00:00 11/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [11:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 11/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: 4312 v1: 22cm v2: Lip st: NotStopd t0: [12:00:00 11/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: 4312 v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 11/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: 4312 v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 11/11/2016] id: Airway Size el: 0 cu: CSRU cg: 4312 v1: 7.5 mm st: NotStopd t0: [12:00:00 11/11/2016] id: Airway Type el: 0 cu: CSRU cg: 4312 v1: Endotracheal st: NotStopd t0: [12:00:00 11/11/2016] id: Intubation Date el: 0 cu: CSRU cg: 4312 v1: 9 v2: 22 st: NotStopd t0: [12:00:00 11/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: 4312 v1: 5 st: NotStopd t0: [12:00:00 11/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: 4312 v1: 11 u1: cmH2O st: NotStopd t0: [12:00:00 11/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: 4312 v1: 12 u1: L/min st: NotStopd t0: [12:00:00 11/11/2016] id: PEEP Set el: 0 cu: CSRU cg: 4312 v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 11/11/2016] id: Pressure Support el: 0 cu: CSRU cg: 4312 v1: 18 u1: . st: NotStopd t0: [12:00:00 11/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: 4312 v1: 26 u1: BPM st: NotStopd t0: [12:00:00 11/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: 4312 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: 4312 v1: 96 u1: % st: NotStopd t0: [12:00:00 11/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: 4312 v1: 475 u1: ml/B st: NotStopd t0: [12:00:00 11/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: 4312 v1: Servo 900c st: NotStopd
t0: [08:00:00 11/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 11/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 11/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 142 rs: Manual st: NotStopd t0: [09:00:00 11/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Tenacious st: NotStopd t0: [09:00:00 11/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 11/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: SC Inject st: NotStopd t0: [10:00:00 11/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Frothy st: NotStopd t0: [10:00:00 11/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:21:00 11/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd t0: [10:21:00 11/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd t0: [12:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [12:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.87726 u1: ... st: NotStopd t0: [12:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 137 u1: BPM st: NotStopd t0: [12:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.80896 u1: kg x m st: NotStopd t0: [12:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.73285 u1: ... st: NotStopd t0: [12:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 35.1424 u1: g * m st: NotStopd t0: [12:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 12.6354 u1: g*m/m2 st: NotStopd t0: [12:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [12:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [12:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [12:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [12:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [12:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 13.7184 u1: ... st: NotStopd t0: [12:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 692.308 u1: ... st: NotStopd t0: [12:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1914.89 u1: ... st: NotStopd t0: [12:00:00 11/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Frothy st: NotStopd t0: [12:00:00 11/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 37.9562 u1: ml st: NotStopd t0: [12:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 55 u1: % st: NotStopd t0: [12:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [12:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [12:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.2 u1: L/min st: NotStopd
t0: [12:00:00 11/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [12:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [12:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [12:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [12:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [12:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [12:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [12:00:00 11/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 90 vu: ml t0: [12:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml t0: [12:00:00 11/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [12:00:00 11/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [12:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [12:58:00 11/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [12:58:00 11/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [12:58:00 11/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [12:58:00 11/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [12:58:00 11/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 111 u1: mmHg rs: Final st: NotStopd t0: [12:58:00 11/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd
t0: [12:58:00 11/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.4654 u1: ml/dl st: NotStopd t0: [12:58:00 11/11/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 676 u1: ml/min st: NotStopd t0: [12:58:00 11/11/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 244.4 u1: ml/m/m st: NotStopd t0: [12:58:00 11/11/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 676 u1: ml/min st: NotStopd t0: [12:58:00 11/11/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 244.043 u1: ml/m/m st: NotStopd t0: [12:58:00 11/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 157 rs: Final st: NotStopd t0: [12:58:00 11/11/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 676 u1: ml/min st: NotStopd t0: [12:58:00 11/11/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 244.043 u1: ml/m/m st: NotStopd t0: [12:58:00 11/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 157 rs: Final st: NotStopd t0: [12:58:00 11/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 96 u1: % rs: Final st: NotStopd
tf: [17:00:00 11/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Amiodarone HCl v1: 150 u1: mg tf: [17:00:00 11/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [13:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [13:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.23827 u1: ... st: NotStopd t0: [13:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 146 u1: BPM st: NotStopd t0: [13:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.07104 u1: kg x m st: NotStopd t0: [13:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.20217 u1: ... st: NotStopd t0: [13:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 41.1264 u1: g * m st: NotStopd t0: [13:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 14.8014 u1: g*m/m2 st: NotStopd t0: [13:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [13:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [13:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [13:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [13:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [13:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 15.1625 u1: ... st: NotStopd t0: [13:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 554.839 u1: ... st: NotStopd t0: [13:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1535.71 u1: ... st: NotStopd t0: [13:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 42.4658 u1: ml st: NotStopd t0: [13:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 54 u1: % st: NotStopd t0: [13:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [13:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [13:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 11/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 123 rs: Manual st: NotStopd t0: [13:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [13:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [13:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [13:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [13:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [13:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [13:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [13:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [13:00:00 11/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [13:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
tf: [17:00:00 11/11/2016] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 14 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [14:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [14:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.09386 u1: ... st: NotStopd t0: [14:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 127 u1: BPM st: NotStopd t0: [14:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.28496 u1: kg x m st: NotStopd t0: [14:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.91336 u1: ... st: NotStopd t0: [14:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 41.9152 u1: g * m st: NotStopd t0: [14:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 15.1625 u1: g*m/m2 st: NotStopd t0: [14:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [14:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [14:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [14:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [14:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 16.6065 u1: ... st: NotStopd t0: [14:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 524.138 u1: ... st: NotStopd t0: [14:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1454.55 u1: ... st: NotStopd t0: [14:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [14:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 45.6693 u1: ml st: NotStopd t0: [14:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 54 u1: % st: NotStopd t0: [14:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [14:00:00 11/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [14:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [14:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [14:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [15:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [15:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.20217 u1: ... st: NotStopd t0: [15:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [15:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.3924 u1: kg x m st: NotStopd t0: [15:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.94946 u1: ... st: NotStopd t0: [15:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.924 u1: g * m st: NotStopd t0: [15:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 19.4946 u1: g*m/m2 st: NotStopd t0: [15:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [15:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [15:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [15:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.0217 u1: ... st: NotStopd t0: [15:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 498.361 u1: ... st: NotStopd t0: [15:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1381.82 u1: ... st: NotStopd t0: [15:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61 u1: ml st: NotStopd t0: [15:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 59 u1: % st: NotStopd t0: [15:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [15:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [15:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [14:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [14:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [14:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [14:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [14:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 60 vu: ml t0: [15:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [15:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [15:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [15:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [15:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [15:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 60 vu: ml t0: [15:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [15:00:00 11/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [15:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [15:30:00 11/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [15:30:00 11/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [15:30:00 11/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [15:30:00 11/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [15:30:00 11/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [15:30:00 11/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [15:30:00 11/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [15:30:00 11/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [15:30:00 11/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 14.1 u1: L/min st: NotStopd t0: [15:30:00 11/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:30:00 11/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 18 u1: . st: NotStopd t0: [15:30:00 11/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [15:30:00 11/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:30:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [15:30:00 11/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 514 u1: ml/B st: NotStopd t0: [15:30:00 11/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [15:30:00 11/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [15:30:00 11/11/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd
t0: [15:45:00 09/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [15:44:00 11/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [15:44:00 11/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [15:44:00 11/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [15:44:00 11/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [15:44:00 11/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [15:44:00 11/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 136 u1: mmHg rs: Final st: NotStopd t0: [15:44:00 11/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [15:44:00 11/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [15:44:00 11/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.14 rs: Final st: NotStopd
t0: [15:25:00 11/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 13.9 rs: Final st: NotStopd t0: [15:25:00 11/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [15:25:00 11/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 42.1 rs: Final st: NotStopd t0: [15:25:00 11/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [15:25:00 11/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.9 rs: Final st: NotStopd t0: [15:25:00 11/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 42.1 rs: Final st: NotStopd
t0: [08:00:00 11/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 11/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 11/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 11/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 11/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 11/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 11/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 11/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 11/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Suctioning st: NotStopd t0: [08:00:00 11/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 11/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 11/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 11/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 11/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 11/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [08:00:00 11/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 11/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 11/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 11/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 11/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 11/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 11/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 11/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 11/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 11/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 11/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 11/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 11/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 11/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 11/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 11/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [08:00:00 11/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [08:00:00 11/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [08:00:00 11/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 11/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 11/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [08:00:00 11/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 11/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [08:00:00 11/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 11/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 11/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 11/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [08:00:00 11/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 11/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 11/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 11/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 11/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 11/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 11/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 11/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 11/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 11/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 11/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [08:00:00 11/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 11/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 11/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 11/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 11/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 11/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [10:00:00 11/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [10:00:00 11/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 11/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [10:00:00 11/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [10:00:00 11/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [10:00:00 11/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [10:00:00 11/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [10:00:00 11/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 11/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Left Arm st: NotStopd t0: [10:00:00 11/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 11/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 11/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 11/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 11/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 11/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 11/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 11/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 11/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [11:00:00 11/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 11/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [11:00:00 11/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 11/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 11/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Cooperative st: NotStopd t0: [12:00:00 11/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 11/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 11/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 11/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 11/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 11/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 11/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 11/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 11/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 11/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 11/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 11/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v2: Abdomen st: NotStopd t0: [12:00:00 11/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 11/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 11/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [12:00:00 11/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 11/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 11/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 11/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [12:00:00 11/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 11/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 11/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 11/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 11/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 11/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [12:00:00 11/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 11/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [12:00:00 11/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 11/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 11/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 11/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 11/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 11/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 11/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 11/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Left Arm st: NotStopd t0: [12:00:00 11/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 11/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 11/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 11/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 11/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 11/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 11/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 11/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 11/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 11/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 11/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [13:00:00 11/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [13:00:00 11/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [13:00:00 11/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [13:00:00 11/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [13:00:00 11/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [14:00:00 11/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [14:00:00 11/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 11/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 11/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Left Arm st: NotStopd t0: [14:00:00 11/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 11/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 11/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Frothy st: NotStopd t0: [14:00:00 11/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 11/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 11/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 11/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 11/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [16:00:00 11/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [16:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.34657 u1: ... st: NotStopd t0: [16:00:00 11/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 11/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 11/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 11/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 11/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 11/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [16:00:00 11/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [16:00:00 11/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [16:00:00 11/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 11/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 11/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v2: Abdomen st: NotStopd t0: [16:00:00 11/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 11/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 11/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 58 u1: BPM st: NotStopd t0: [16:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 11/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [16:00:00 11/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 11/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 11/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 11/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 11/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 11/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 11/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.514 u1: kg x m st: NotStopd t0: [16:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.70758 u1: ... st: NotStopd t0: [16:00:00 11/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 11/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 11/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 11/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 129.472 u1: g * m st: NotStopd t0: [16:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 46.5704 u1: g*m/m2 st: NotStopd t0: [16:00:00 11/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [16:00:00 11/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [16:00:00 11/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [16:00:00 11/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [16:00:00 11/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [16:00:00 11/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [16:00:00 11/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [16:00:00 11/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 11/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [16:00:00 11/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [16:00:00 11/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 11/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 11/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [16:00:00 11/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 11/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [16:00:00 11/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 11/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 11/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 11/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 11/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 11/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 35 u1: BPM st: NotStopd t0: [16:00:00 11/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 11/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Left Arm st: NotStopd t0: [16:00:00 11/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 11/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 40.4332 u1: ... st: NotStopd t0: [16:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 701.538 u1: ... st: NotStopd t0: [16:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1940.43 u1: ... st: NotStopd t0: [16:00:00 11/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 11/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 11/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 112.069 u1: ml st: NotStopd t0: [16:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 58 u1: % st: NotStopd t0: [16:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [16:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [16:00:00 11/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [16:00:00 11/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 11/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 11/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 11/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Cooperative st: NotStopd t0: [16:00:00 11/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.5 u1: L/min st: NotStopd t0: [16:00:00 11/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 11/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 11/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 11/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 11/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [16:00:00 11/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [16:00:00 11/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [16:00:00 11/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [16:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 50 su: ml rt: IV Drip
tf: [16:00:00 11/11/2016] pt: Unit Dose rt: IV fr: Q8H fs: 17, 1, 9 dn: 3 m1: Furosemide v1: 80 u1: mg tf: [12:00:00 12/11/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Amiodarone HCl v1: 600 u1: mg m2: D5W (EXCEL BAG) v2: 250 u2: ml tf: [09:00:00 13/11/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Furosemide v1: 100 u1: mg m2: D5W v2: 50 u2: ml
t0: [15:44:00 11/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.9 rs: Manual st: NotStopd t0: [15:44:00 11/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.9 rs: Manual st: NotStopd t0: [16:00:00 11/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 88 rs: Manual st: NotStopd t0: [16:30:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:30:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [16:30:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:30:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [16:30:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [16:30:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [16:30:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [16:30:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:30:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [16:30:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:30:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [16:30:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [17:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.52708 u1: ... st: NotStopd t0: [17:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [17:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [17:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [17:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.092 u1: kg x m st: NotStopd t0: [17:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.92419 u1: ... st: NotStopd t0: [17:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 75.14 u1: g * m st: NotStopd t0: [17:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.0758 u1: g*m/m2 st: NotStopd t0: [17:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [17:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [17:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [17:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 11/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [17:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [17:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [17:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.4657 u1: ... st: NotStopd t0: [17:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 697.143 u1: ... st: NotStopd t0: [17:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1928.85 u1: ... st: NotStopd t0: [17:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 11/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Frothy st: NotStopd t0: [17:00:00 11/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [17:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 65.4206 u1: ml st: NotStopd t0: [17:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [17:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [17:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [17:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 11/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 84 rs: Manual st: NotStopd t0: [17:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7 u1: L/min st: NotStopd
t0: [16:00:00 11/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [16:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [16:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [16:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [16:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [16:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [16:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 60 vu: ml t0: [16:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml t0: [17:00:00 11/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [17:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [17:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [17:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4.5 vu: ml t0: [17:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [17:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [17:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 60 vu: ml t0: [17:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [16:30:00 11/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [16:30:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:30:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip t0: [17:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [17:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [18:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [18:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.59928 u1: ... st: NotStopd t0: [18:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [18:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.71488 u1: kg x m st: NotStopd t0: [18:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.14079 u1: ... st: NotStopd t0: [18:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 83.5176 u1: g * m st: NotStopd t0: [18:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.3249 u1: g*m/m2 st: NotStopd t0: [18:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [18:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [18:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [18:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [18:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [18:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.9097 u1: ... st: NotStopd t0: [18:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 677.778 u1: ... st: NotStopd t0: [18:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1876.92 u1: ... st: NotStopd t0: [18:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 68.5714 u1: ml st: NotStopd t0: [18:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [18:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [18:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [18:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.2 u1: L/min st: NotStopd
t0: [18:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [18:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [18:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [18:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [18:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [18:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 60 vu: ml t0: [18:00:00 11/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 90 vu: ml t0: [18:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 350 vu: ml t0: [18:00:00 11/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [18:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [18:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [18:46:00 11/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [18:46:00 11/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [18:46:00 11/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [18:46:00 11/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [18:46:00 11/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [18:46:00 11/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 104 u1: mmHg rs: Final st: NotStopd t0: [18:46:00 11/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [18:46:00 11/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 107 rs: Final st: NotStopd
t0: [19:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [19:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.52708 u1: ... st: NotStopd t0: [19:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [19:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.5208 u1: kg x m st: NotStopd t0: [19:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.70758 u1: ... st: NotStopd t0: [19:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 74.1336 u1: g * m st: NotStopd t0: [19:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.7148 u1: g*m/m2 st: NotStopd t0: [19:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [19:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [19:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [19:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [19:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [19:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.9097 u1: ... st: NotStopd t0: [19:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 605.714 u1: ... st: NotStopd t0: [19:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1675.89 u1: ... st: NotStopd t0: [19:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 68.6275 u1: ml st: NotStopd t0: [19:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [19:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [19:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [19:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7 u1: L/min st: NotStopd
t0: [19:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [19:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [19:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [19:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [19:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [19:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 60 vu: ml t0: [19:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [17:00:00 11/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 11/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 11/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [19:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 11/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 11/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 11/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 11/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 11/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 11/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [16:00:00 11/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [16:00:00 11/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 11/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 11/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 11/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 11/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd
tf: [19:00:00 12/11/2016] pt: Unit Dose rt: NG fr: ONCE fs: 20 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
t0: [20:00:00 11/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [20:00:00 11/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 11/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 11/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 11/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 11/11/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 11/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [20:00:00 11/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 11/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [20:00:00 11/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.5 u1: L/min st: NotStopd t0: [20:00:00 11/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 11/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 18 u1: . st: NotStopd t0: [20:00:00 11/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 11/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [20:00:00 11/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 11/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 11/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 558 u1: ml/B st: NotStopd t0: [20:00:00 11/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 11/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
id: Lasix el: 100 cu: CSRU cg: RN io: D5W 100.0ml + 100mghr Lasix Tube Feeding am: 100 du: mghr rt: IV Drip
io: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ra: 8 ru: ml/hr
tf: [20:00:00 12/11/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 21, 5, 13 dn: 3 m1: Acetazolamide Sodium v1: 250 u1: mg m2: D5W v2: 25 u2: ml
id: D5W el: 1 cu: CSRU cg: RN io: D5W 100.0ml + 100mghr Lasix Tube Feeding vo: 100 du: ml rt: Intravenous Push
t0: [21:00:00 11/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [21:00:00 11/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 131 rs: Final st: NotStopd t0: [21:00:00 11/11/2016] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [21:00:00 11/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [21:00:00 11/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [21:00:00 11/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [21:00:00 11/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 54 u1: mmHg rs: Final st: NotStopd t0: [21:00:00 11/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 157 u1: mmHg rs: Final st: NotStopd t0: [21:00:00 11/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [21:00:00 11/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 131 rs: Final st: NotStopd t0: [21:00:00 11/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.11 rs: Final st: NotStopd t0: [21:00:00 11/11/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [21:00:00 11/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [20:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [20:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.59928 u1: ... st: NotStopd t0: [20:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [20:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.10656 u1: kg x m st: NotStopd t0: [20:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.2852 u1: ... st: NotStopd t0: [20:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 83.4768 u1: g * m st: NotStopd t0: [20:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 29.9639 u1: g*m/m2 st: NotStopd t0: [20:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [20:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [20:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [20:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [20:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 33 u1: BPM st: NotStopd t0: [20:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.8267 u1: ... st: NotStopd t0: [20:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 711.111 u1: ... st: NotStopd t0: [20:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1969.23 u1: ... st: NotStopd t0: [20:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 66.055 u1: ml st: NotStopd t0: [20:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [20:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [20:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [20:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.2 u1: L/min st: NotStopd t0: [21:00:00 11/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [21:00:00 11/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [21:00:00 11/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [21:00:00 11/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [21:00:00 11/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 11/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [21:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [21:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.59928 u1: ... st: NotStopd t0: [21:00:00 11/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [21:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 11/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [21:00:00 11/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [21:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 4 rs: Final st: NotStopd t0: [21:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 11/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [21:00:00 11/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Medications st: NotStopd t0: [21:00:00 11/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 11/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [21:00:00 11/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [21:00:00 11/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [21:00:00 11/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [21:00:00 11/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [21:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 11/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [21:00:00 11/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [21:00:00 11/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [21:00:00 11/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [21:00:00 11/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [21:00:00 11/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [21:00:00 11/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [21:00:00 11/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 11/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 11/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 11/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples st: NotStopd t0: [21:00:00 11/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 11/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 11/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [21:00:00 11/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [21:00:00 11/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [21:00:00 11/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [21:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.24608 u1: kg x m st: NotStopd t0: [21:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.59928 u1: ... st: NotStopd t0: [21:00:00 11/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 11/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 11/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [21:00:00 11/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 71.4544 u1: g * m st: NotStopd t0: [21:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.6318 u1: g*m/m2 st: NotStopd t0: [21:00:00 11/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [21:00:00 11/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 11/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 11/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [21:00:00 11/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [21:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [21:00:00 11/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [21:00:00 11/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 11/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 11/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [21:00:00 11/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [21:00:00 11/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [21:00:00 11/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [21:00:00 11/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [21:00:00 11/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [21:00:00 11/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [21:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [21:00:00 11/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 11/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 11/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 11/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 11/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:00:00 11/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [21:00:00 11/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Left Arm st: NotStopd t0: [21:00:00 11/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [21:00:00 11/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [21:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.6318 u1: ... st: NotStopd t0: [21:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 566.667 u1: ... st: NotStopd t0: [21:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1569.23 u1: ... st: NotStopd t0: [21:00:00 11/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 11/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [21:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 11/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [21:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 70.5882 u1: ml st: NotStopd t0: [21:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [21:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [21:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [21:00:00 11/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [21:00:00 11/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [21:00:00 11/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 11/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 11/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [21:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 11/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [21:00:00 11/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [21:00:00 11/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4 rs: Final st: NotStopd t0: [21:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.2 u1: L/min st: NotStopd t0: [21:00:00 11/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 11/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [21:00:00 11/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [21:00:00 11/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [21:00:00 11/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 10 vu: ml t0: [21:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 36 vu: ml t0: [21:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 20 vu: ml t0: [21:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml t0: [21:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [21:00:00 11/11/2016] tf: [15:18:00 28/11/2016] dt: 24138 id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [21:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 8.17875 vu: ml t0: [21:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 130 vu: ml t0: [21:00:00 11/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [21:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [20:00:00 11/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 11/11/2016] tf: [14:00:00 23/11/2016] dt: 16860 id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [20:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 50 su: ml rt: IV Drip t0: [21:00:00 11/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 11/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [21:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [22:00:00 11/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [22:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [22:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml t0: [22:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [22:00:00 11/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [22:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [22:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 70 vu: ml
t0: [20:47:00 11/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [20:47:00 11/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd
tf: [10:00:00 27/11/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Ascorbic Acid (Liquid) v1: 504 u1: mg tf: [19:00:00 28/11/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Ascorbic Acid (Liquid) v1: 504 u1: mg
t0: [20:47:00 11/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [20:47:00 11/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [20:47:00 11/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 44.5 rs: Final st: NotStopd t0: [20:47:00 11/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [20:47:00 11/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [20:47:00 11/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 44.5 rs: Final st: NotStopd
t0: [22:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.99639 u1: ... st: NotStopd t0: [22:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [22:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.25616 u1: kg x m st: NotStopd t0: [22:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.3574 u1: ... st: NotStopd t0: [22:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 89.216 u1: g * m st: NotStopd t0: [22:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 32.13 u1: g*m/m2 st: NotStopd t0: [22:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [22:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [22:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [22:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [22:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.8809 u1: ... st: NotStopd t0: [22:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 79.8077 u1: ml st: NotStopd t0: [22:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [22:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [22:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [22:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.3 u1: L/min st: NotStopd t0: [23:00:00 11/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 11/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [23:00:00 11/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.99639 u1: ... st: NotStopd t0: [23:00:00 11/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 11/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 11/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 11/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [23:00:00 11/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 11/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.70768 u1: kg x m st: NotStopd t0: [23:00:00 11/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.50181 u1: ... st: NotStopd t0: [23:00:00 11/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 90.0592 u1: g * m st: NotStopd t0: [23:00:00 11/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 32.491 u1: g*m/m2 st: NotStopd t0: [23:00:00 11/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [23:00:00 11/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [23:00:00 11/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [23:00:00 11/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 11/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [23:00:00 11/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 11/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.7978 u1: ... st: NotStopd t0: [23:00:00 11/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 559.036 u1: ... st: NotStopd t0: [23:00:00 11/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1546.67 u1: ... st: NotStopd t0: [23:00:00 11/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 11/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 76.8519 u1: ml st: NotStopd t0: [23:00:00 11/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [23:00:00 11/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 11/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [23:00:00 11/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [23:00:00 11/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 11/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.3 u1: L/min st: NotStopd
t0: [22:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 380 vu: ml t0: [23:00:00 11/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [23:00:00 11/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [23:00:00 11/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [23:00:00 11/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml t0: [23:00:00 11/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [23:00:00 11/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [23:00:00 11/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [23:00:00 11/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 70 vu: ml t0: [23:00:00 11/11/2016] tf: [20:00:00 15/11/2016] dt: 5580 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [23:00:00 11/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml t0: [23:00:00 11/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 15 vu: ml
t0: [22:00:00 11/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 11/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [22:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip t0: [23:00:00 11/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 11/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 11/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 11/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [23:00:00 11/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 12/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 12/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 12/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 12/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 12/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 12/11/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 12/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [00:00:00 12/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 12/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [00:00:00 12/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.9 u1: L/min st: NotStopd t0: [00:00:00 12/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 12/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 18 u1: . st: NotStopd t0: [00:00:00 12/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:00:00 12/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [00:00:00 12/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 12/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 12/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 545 u1: ml/B st: NotStopd t0: [00:00:00 12/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 12/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
tf: [00:00:00 13/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 1 dn: 1 m1: Lorazepam v1: 1 u1: mg
t0: [22:00:00 11/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 125 rs: Manual st: NotStopd t0: [22:00:00 11/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 125 rs: Manual st: NotStopd t0: [00:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [00:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 12/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [00:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [00:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 12/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 12/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [00:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [00:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [00:00:00 12/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [00:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [00:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 12/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [00:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [00:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [00:00:00 12/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [00:00:00 12/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [00:00:00 12/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [01:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [01:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [01:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [01:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [01:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [01:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [01:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 59 u1: % st: NotStopd t0: [01:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [01:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [01:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 12/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 124 rs: Manual st: NotStopd
t0: [00:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [00:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 3 vu: ml t0: [00:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [00:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [00:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [00:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 70 vu: ml t0: [00:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml t0: [01:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [01:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [01:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 3 vu: ml t0: [01:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [01:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [01:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [01:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [01:00:00 12/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [01:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml t0: [01:00:00 12/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [23:00:00 11/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip t0: [00:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [00:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip t0: [01:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [01:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 11/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 380 ap: none t0: [23:00:00 12/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN pv: 60 cv: 220 ap: none t0: [23:00:00 12/11/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN pv: 40 cv: 480 ap: none
t0: [01:00:00 12/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 22cm v2: Lip st: NotStopd t0: [01:00:00 12/11/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 7.5 mm st: NotStopd t0: [01:00:00 12/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [01:00:00 12/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [01:00:00 12/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [01:00:00 12/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 12/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [02:00:00 12/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 12/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [02:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [02:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 12/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [02:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [02:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [02:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [02:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [02:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [02:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 35 u1: BPM st: NotStopd t0: [02:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [02:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [02:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [02:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [02:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [02:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [02:51:00 12/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [02:51:00 12/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [02:51:00 12/11/2016] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [02:51:00 12/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.2 rs: Final st: NotStopd t0: [02:51:00 12/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [02:51:00 12/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [02:51:00 12/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [02:51:00 12/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [02:51:00 12/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 142 u1: mmHg rs: Final st: NotStopd t0: [02:51:00 12/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [02:51:00 12/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [02:51:00 12/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.13 rs: Final st: NotStopd t0: [02:51:00 12/11/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [02:51:00 12/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.2 rs: Final st: NotStopd t0: [02:51:00 12/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [03:02:00 12/11/2016] id: Mixed Venous O2 Blood Gases el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [03:02:00 12/11/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 62 rs: Final st: NotStopd
t0: [02:33:00 12/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.2 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 11.2 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 32.1 u1: % rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.3 u1: gm/dl rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 126 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.63 u1: /mic l rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.2 rs: Final st: NotStopd
t0: [21:00:00 11/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [21:00:00 11/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [21:00:00 11/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [21:00:00 11/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [21:00:00 11/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [21:00:00 11/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [21:00:00 11/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [21:00:00 11/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [21:00:00 11/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [21:00:00 11/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [21:00:00 11/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [21:00:00 11/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.3574 u1: ... st: NotStopd t0: [00:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.35952 u1: kg x m st: NotStopd t0: [00:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.3935 u1: ... st: NotStopd t0: [00:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 84.5376 u1: g * m st: NotStopd t0: [00:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.6859 u1: g*m/m2 st: NotStopd t0: [00:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30.3249 u1: ... st: NotStopd t0: [00:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 412.903 u1: ... st: NotStopd t0: [00:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1142.86 u1: ... st: NotStopd t0: [00:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 83.7838 u1: ml st: NotStopd t0: [00:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 9.3 u1: L/min st: NotStopd t0: [01:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.3574 u1: ... st: NotStopd t0: [01:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.486 u1: kg x m st: NotStopd t0: [01:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.4296 u1: ... st: NotStopd t0: [01:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 85.68 u1: g * m st: NotStopd t0: [01:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.0469 u1: g*m/m2 st: NotStopd t0: [01:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30.3249 u1: ... st: NotStopd t0: [01:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 421.505 u1: ... st: NotStopd t0: [01:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1166.67 u1: ... st: NotStopd t0: [01:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 83.7838 u1: ml st: NotStopd t0: [01:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 9.3 u1: L/min st: NotStopd t0: [02:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.3213 u1: ... st: NotStopd t0: [02:00:00 12/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [02:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.25888 u1: kg x m st: NotStopd t0: [02:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.3574 u1: ... st: NotStopd t0: [02:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 87.5568 u1: g * m st: NotStopd t0: [02:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.769 u1: g*m/m2 st: NotStopd t0: [02:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 31.4079 u1: ... st: NotStopd t0: [02:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 391.304 u1: ... st: NotStopd t0: [02:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1084.34 u1: ... st: NotStopd t0: [02:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 86.7925 u1: ml st: NotStopd t0: [02:00:00 12/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [02:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 9.2 u1: L/min st: NotStopd t0: [03:00:00 12/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [03:00:00 12/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [03:00:00 12/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [03:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [03:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.213 u1: ... st: NotStopd t0: [03:00:00 12/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [03:00:00 12/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [03:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 12/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [03:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [03:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 12/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Medications st: NotStopd t0: [03:00:00 12/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [03:00:00 12/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [03:00:00 12/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [03:00:00 12/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [03:00:00 12/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [03:00:00 12/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [03:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [03:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 12/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [03:00:00 12/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [03:00:00 12/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [03:00:00 12/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [03:00:00 12/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [03:00:00 12/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [03:00:00 12/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [03:00:00 12/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 12/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 12/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [03:00:00 12/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 12/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 12/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 12/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [03:00:00 12/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [03:00:00 12/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [03:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 10.0463 u1: kg x m st: NotStopd t0: [03:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.61011 u1: ... st: NotStopd t0: [03:00:00 12/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [03:00:00 12/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [03:00:00 12/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [03:00:00 12/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [03:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 90.304 u1: g * m st: NotStopd t0: [03:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 32.491 u1: g*m/m2 st: NotStopd t0: [03:00:00 12/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [03:00:00 12/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 12/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 12/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [03:00:00 12/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [03:00:00 12/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [03:00:00 12/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [03:00:00 12/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [03:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [03:00:00 12/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [03:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [03:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 12/11/2016] id: PresSoreStage/Heal#1 el: 0 cu: CSRU cg: RN v1: Red, Unbroken st: NotStopd t0: [03:00:00 12/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [03:00:00 12/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Wet to Dry st: NotStopd t0: [03:00:00 12/11/2016] id: PressSoreWoundBase#1 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [03:00:00 12/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 12/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [03:00:00 12/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [03:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [03:00:00 12/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [03:00:00 12/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [03:00:00 12/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [03:00:00 12/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 12/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:00:00 12/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [03:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [03:00:00 12/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [03:00:00 12/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Left Arm st: NotStopd t0: [03:00:00 12/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [03:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.8809 u1: ... st: NotStopd t0: [03:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 494.382 u1: ... st: NotStopd t0: [03:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1370.72 u1: ... st: NotStopd t0: [03:00:00 12/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 12/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [03:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 12/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [03:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 80.1802 u1: ml st: NotStopd t0: [03:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [03:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [03:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [03:00:00 12/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [03:00:00 12/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 12/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 12/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [03:00:00 12/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [03:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.9 u1: L/min st: NotStopd t0: [03:00:00 12/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 12/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [03:00:00 12/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [03:00:00 12/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [03:00:00 12/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [03:02:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.45487 u1: ... st: NotStopd t0: [03:02:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1795.92 u1: ... st: NotStopd t0: [03:02:00 12/11/2016] id: C.O. (fick) el: 0 cu: CSRU cg: RN v1: 6.78026 u1: L/min st: NotStopd
t0: [03:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 36 vu: ml t0: [03:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 20 vu: ml t0: [03:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 8 vu: ml t0: [03:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [03:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 16 vu: ml t0: [03:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 8.17875 vu: ml t0: [03:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 140 vu: ml t0: [03:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [03:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 10/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [02:33:00 12/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.5 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 45.5 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.5 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 45.5 rs: Final st: NotStopd
t0: [02:33:00 12/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 128 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 128 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [02:33:00 12/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd
t0: [04:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.1769 u1: ... st: NotStopd t0: [04:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [04:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [04:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 113 u1: BPM st: NotStopd t0: [04:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 10.6515 u1: kg x m st: NotStopd t0: [04:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.86282 u1: ... st: NotStopd t0: [04:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 94.4112 u1: g * m st: NotStopd t0: [04:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.935 u1: g*m/m2 st: NotStopd t0: [04:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [04:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [04:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [04:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [04:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [04:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.1588 u1: ... st: NotStopd t0: [04:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 77.8761 u1: ml st: NotStopd t0: [04:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [04:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.8 u1: L/min st: NotStopd
t0: [04:00:00 12/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [04:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [04:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [04:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [04:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [04:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [04:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 70 vu: ml t0: [04:00:00 12/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [04:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml t0: [04:00:00 12/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 15 vu: ml
t0: [04:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [04:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 12/11/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 80.5556 u1: units st: NotStopd t0: [05:00:00 12/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [05:00:00 12/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 12/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 12/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 12/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 12/11/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [05:00:00 12/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [05:00:00 12/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [05:00:00 12/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [05:00:00 12/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.5 u1: L/min st: NotStopd t0: [05:00:00 12/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 12/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 18 u1: . st: NotStopd t0: [05:00:00 12/11/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 80.5556 u1: units st: NotStopd t0: [05:00:00 12/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [05:00:00 12/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [05:00:00 12/11/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [05:00:00 12/11/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.36 u1: L st: NotStopd t0: [05:00:00 12/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [05:00:00 12/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 12/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 525 u1: ml/B st: NotStopd t0: [05:00:00 12/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 12/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [05:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [05:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.92419 u1: ... st: NotStopd t0: [05:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 12/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 112 u1: BPM st: NotStopd t0: [05:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.69408 u1: kg x m st: NotStopd t0: [05:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.50181 u1: ... st: NotStopd t0: [05:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 86.1696 u1: g * m st: NotStopd t0: [05:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.0469 u1: g*m/m2 st: NotStopd t0: [05:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [05:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [05:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [05:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [05:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [05:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.9928 u1: ... st: NotStopd t0: [05:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 592.593 u1: ... st: NotStopd t0: [05:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1643.84 u1: ... st: NotStopd t0: [05:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 72.3214 u1: ml st: NotStopd t0: [05:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [05:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [05:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [05:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.1 u1: L/min st: NotStopd
t0: [05:00:00 12/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [05:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [05:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [05:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [05:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [05:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [05:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [05:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 70 vu: ml t0: [05:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [05:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [05:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [03:00:00 12/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 137 rs: Manual st: NotStopd t0: [03:00:00 12/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [03:00:00 12/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 137 rs: Manual st: NotStopd t0: [04:00:00 12/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [04:00:00 12/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [04:00:00 12/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [04:00:00 12/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [06:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.05776 u1: ... st: NotStopd t0: [06:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 12/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 135 rs: Manual st: NotStopd t0: [06:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [06:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [06:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [06:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.04656 u1: kg x m st: NotStopd t0: [06:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.16606 u1: ... st: NotStopd t0: [06:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 58.344 u1: g * m st: NotStopd t0: [06:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 20.9386 u1: g*m/m2 st: NotStopd t0: [06:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [06:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [06:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [06:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [06:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [06:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 19.8556 u1: ... st: NotStopd t0: [06:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 687.719 u1: ... st: NotStopd t0: [06:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1902.91 u1: ... st: NotStopd t0: [06:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55.3398 u1: ml st: NotStopd t0: [06:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [06:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [06:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 12/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 135 rs: Manual st: NotStopd t0: [06:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [06:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [06:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [06:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [06:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [06:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml t0: [06:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 70 vu: ml t0: [06:00:00 12/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [06:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 130 vu: ml t0: [06:00:00 12/11/2016] id: Chest Tubes Mediastinal el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [05:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [06:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd
t0: [07:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [07:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.34657 u1: ... st: NotStopd t0: [07:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [07:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [07:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [07:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 12.1992 u1: kg x m st: NotStopd t0: [07:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.40433 u1: ... st: NotStopd t0: [07:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 120.115 u1: g * m st: NotStopd t0: [07:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 43.3213 u1: g*m/m2 st: NotStopd t0: [07:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [07:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [07:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg st: NotStopd t0: [07:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [07:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [07:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.1047 u1: ... st: NotStopd t0: [07:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1353.85 u1: ... st: NotStopd t0: [07:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3744.68 u1: ... st: NotStopd t0: [07:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 63.7255 u1: ml st: NotStopd t0: [07:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [07:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [07:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [07:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [07:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [07:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [07:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [07:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [07:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [07:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 1.36312 vu: ml t0: [07:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [07:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [07:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
tf: [00:00:00 13/11/2016] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 8 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [08:00:00 12/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 12/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 12/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 12/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 12/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 12/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [08:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.70758 u1: ... st: NotStopd t0: [08:00:00 12/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 12/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 12/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 12/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [08:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 123 rs: Manual st: NotStopd t0: [08:00:00 12/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 12/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [08:00:00 12/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Medications st: NotStopd t0: [08:00:00 12/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 12/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 12/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 12/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 12/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 12/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [08:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 12/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [08:00:00 12/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 12/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 12/11/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 12/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 12/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 12/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 12/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 12/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 12/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 12/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 12/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 12/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 12/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.16 u1: kg x m st: NotStopd t0: [08:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.96029 u1: ... st: NotStopd t0: [08:00:00 12/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 12/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 12/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 80.512 u1: g * m st: NotStopd t0: [08:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 29.2419 u1: g*m/m2 st: NotStopd t0: [08:00:00 12/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 12/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 12/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [08:00:00 12/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [08:00:00 12/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [08:00:00 12/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [08:00:00 12/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:00:00 12/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [08:00:00 12/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 12/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 12/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 12/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 12/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [08:00:00 12/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 12/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 12/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 12/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [08:00:00 12/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 12/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Left Arm st: NotStopd t0: [08:00:00 12/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 12/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 26.7148 u1: ... st: NotStopd t0: [08:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 586.667 u1: ... st: NotStopd t0: [08:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1623.62 u1: ... st: NotStopd t0: [08:00:00 12/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 12/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 12/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 73.5294 u1: ml st: NotStopd t0: [08:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [08:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [08:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [08:00:00 12/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [08:00:00 12/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 12/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 12/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [08:00:00 12/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 12/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 123 rs: Manual st: NotStopd t0: [08:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.5 u1: L/min st: NotStopd t0: [08:00:00 12/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 12/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 12/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 12/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [08:00:00 12/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [08:00:00 12/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [08:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [08:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [08:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [08:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [08:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [08:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 1.36312 vu: ml t0: [08:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml
t0: [08:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [08:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [09:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [09:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.49097 u1: ... st: NotStopd t0: [09:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [09:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.16408 u1: kg x m st: NotStopd t0: [09:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.96029 u1: ... st: NotStopd t0: [09:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 76.908 u1: g * m st: NotStopd t0: [09:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.7978 u1: g*m/m2 st: NotStopd t0: [09:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [09:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [09:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [09:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [09:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.4657 u1: ... st: NotStopd t0: [09:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 730.435 u1: ... st: NotStopd t0: [09:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2024.1 u1: ... st: NotStopd t0: [09:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 65.0943 u1: ml st: NotStopd t0: [09:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [09:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [09:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [09:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.9 u1: L/min st: NotStopd
t0: [09:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [09:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [09:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [09:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [09:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 1.36312 vu: ml t0: [09:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [09:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.005 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [09:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [09:00:00 12/11/2016] id: High Resp. Rate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 12/11/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [09:00:00 12/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [09:00:00 12/11/2016] id: ETT Position Change el: 0 cu: CSRU cg: RRT v1: Done st: NotStopd t0: [09:00:00 12/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 12/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [09:00:00 12/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [09:00:00 12/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 12/11/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [09:00:00 12/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [09:00:00 12/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [09:00:00 12/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10.4 u1: cmH2O st: NotStopd t0: [09:00:00 12/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13.9 u1: L/min st: NotStopd t0: [09:00:00 12/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 12/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 18 u1: . st: NotStopd t0: [09:00:00 12/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [09:00:00 12/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 12/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 567 u1: ml/B st: NotStopd t0: [09:00:00 12/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [09:00:00 12/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [10:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [10:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.56318 u1: ... st: NotStopd t0: [10:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 144 rs: Manual st: NotStopd t0: [10:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [10:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.46952 u1: kg x m st: NotStopd t0: [10:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.34657 u1: ... st: NotStopd t0: [10:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 67.4288 u1: g * m st: NotStopd t0: [10:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.1877 u1: g*m/m2 st: NotStopd t0: [10:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [10:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [10:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 26.7148 u1: ... st: NotStopd t0: [10:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 507.042 u1: ... st: NotStopd t0: [10:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1406.25 u1: ... st: NotStopd t0: [10:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 73.9583 u1: ml st: NotStopd t0: [10:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [10:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [10:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [10:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 12/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 144 rs: Manual st: NotStopd t0: [10:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.1 u1: L/min st: NotStopd
t0: [10:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.005 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [10:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [10:15:00 12/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [10:15:00 12/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [10:15:00 12/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [10:15:00 12/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [10:15:00 12/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 52 u1: mmHg rs: Final st: NotStopd t0: [10:15:00 12/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 150 u1: mmHg rs: Final st: NotStopd t0: [10:15:00 12/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [10:15:00 12/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 113 rs: Final st: NotStopd
t0: [10:25:00 12/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [10:25:00 12/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [10:25:00 12/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [10:25:00 12/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [10:25:00 12/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [10:25:00 12/11/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [10:25:00 12/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [10:25:00 12/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [10:25:00 12/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9.2 u1: cmH2O st: NotStopd t0: [10:25:00 12/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.1 u1: L/min st: NotStopd t0: [10:25:00 12/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [10:25:00 12/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 15 u1: . st: NotStopd t0: [10:25:00 12/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [10:25:00 12/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [10:25:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [10:25:00 12/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 552 u1: ml/B st: NotStopd t0: [10:25:00 12/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [10:25:00 12/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [10:15:00 12/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd t0: [10:15:00 12/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.06 rs: Final st: NotStopd t0: [10:15:00 12/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd
t0: [10:00:00 12/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [10:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [10:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [10:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [10:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [10:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [10:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 0.681562 vu: ml t0: [10:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [10:00:00 12/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [10:00:00 12/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [11:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [11:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.70758 u1: ... st: NotStopd t0: [11:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [11:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.222 u1: kg x m st: NotStopd t0: [11:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.23827 u1: ... st: NotStopd t0: [11:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 64.7088 u1: g * m st: NotStopd t0: [11:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.4657 u1: g*m/m2 st: NotStopd t0: [11:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [11:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [11:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [11:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [11:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.1588 u1: ... st: NotStopd t0: [11:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 426.667 u1: ... st: NotStopd t0: [11:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1180.81 u1: ... st: NotStopd t0: [11:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 78.125 u1: ml st: NotStopd t0: [11:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [11:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.2 u1: Deg. C st: NotStopd t0: [11:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.16 u1: Deg. F st: NotStopd t0: [11:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.5 u1: L/min st: NotStopd
t0: [11:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [11:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [11:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [11:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [11:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [11:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 0.681562 vu: ml t0: [11:00:00 12/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [11:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [11:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [11:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [11:11:00 12/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [11:11:00 12/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [11:11:00 12/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [11:11:00 12/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 35 rs: Final st: NotStopd t0: [11:11:00 12/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [11:11:00 12/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 150 u1: mmHg rs: Final st: NotStopd t0: [11:11:00 12/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [11:11:00 12/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [12:00:00 12/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [12:00:00 12/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 12/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 12/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 12/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 12/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [12:00:00 12/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 12/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 14.8 u1: L/min st: NotStopd t0: [12:00:00 12/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 12/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 13 u1: . st: NotStopd t0: [12:00:00 12/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [12:00:00 12/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [12:00:00 12/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [12:00:00 12/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 12/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [12:00:00 12/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 12/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 12/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 12/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 12/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [12:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.20217 u1: ... st: NotStopd t0: [12:00:00 12/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [12:00:00 12/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 12/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 12/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 12/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [12:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 112 rs: Manual st: NotStopd t0: [12:00:00 12/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 12/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 12/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Altered LOC st: NotStopd t0: [12:00:00 12/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Given st: NotStopd t0: [12:00:00 12/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [12:00:00 12/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [12:00:00 12/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [12:00:00 12/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Disease Process st: NotStopd t0: [12:00:00 12/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 12/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 12/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 12/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 12/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 12/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [12:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 12/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [12:00:00 12/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 12/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 12/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 12/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [12:00:00 12/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 12/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 12/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 12/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 12/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 12/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 12/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 12/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 12/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.30496 u1: kg x m st: NotStopd t0: [12:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.27437 u1: ... st: NotStopd t0: [12:00:00 12/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 12/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 12/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 12/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 60.9824 u1: g * m st: NotStopd t0: [12:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.0217 u1: g*m/m2 st: NotStopd t0: [12:00:00 12/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 12/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 12/11/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: Psych Liason st: NotStopd t0: [12:00:00 12/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [12:00:00 12/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [12:00:00 12/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 12/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [12:00:00 12/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [12:00:00 12/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [12:00:00 12/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 12/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 12/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 12/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 12/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 12/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [12:00:00 12/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 12/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [12:00:00 12/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 12/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 12/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 12/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 12/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 12/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 12/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 12/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 12/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 21.2996 u1: ... st: NotStopd t0: [12:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 721.311 u1: ... st: NotStopd t0: [12:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2000 u1: ... st: NotStopd t0: [12:00:00 12/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 12/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 12/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.6538 u1: ml st: NotStopd t0: [12:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [12:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [12:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [12:00:00 12/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 12/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 12/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 12/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 12/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 112 rs: Manual st: NotStopd t0: [12:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.1 u1: L/min st: NotStopd t0: [12:00:00 12/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 12/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 12/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 12/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [12:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [12:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [12:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [12:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [12:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [12:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 1.36312 vu: ml t0: [12:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [12:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [12:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 12/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [13:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [13:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.49097 u1: ... st: NotStopd t0: [13:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 112 rs: Manual st: NotStopd t0: [13:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [13:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.22568 u1: kg x m st: NotStopd t0: [13:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.59928 u1: ... st: NotStopd t0: [13:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 69.1152 u1: g * m st: NotStopd t0: [13:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.9097 u1: g*m/m2 st: NotStopd t0: [13:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [13:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [13:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [13:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.8267 u1: ... st: NotStopd t0: [13:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 649.275 u1: ... st: NotStopd t0: [13:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1799.2 u1: ... st: NotStopd t0: [13:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 65.7143 u1: ml st: NotStopd t0: [13:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [13:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [13:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [13:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 12/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 112 rs: Manual st: NotStopd t0: [13:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.9 u1: L/min st: NotStopd
t0: [13:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [13:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [13:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [13:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [13:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [13:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 1.36312 vu: ml t0: [13:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [13:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [13:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [13:04:00 12/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [13:04:00 12/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [13:04:00 12/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [13:04:00 12/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 54 u1: mmHg rs: Final st: NotStopd t0: [13:04:00 12/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 108 u1: mmHg rs: Final st: NotStopd t0: [13:04:00 12/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd
t0: [12:00:00 12/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [12:00:00 12/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 12/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 12/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 12/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 12/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 12/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [12:00:00 12/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 12/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:04:00 12/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [13:04:00 12/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd
t0: [14:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [14:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.49097 u1: ... st: NotStopd t0: [14:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [14:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.60104 u1: kg x m st: NotStopd t0: [14:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.74368 u1: ... st: NotStopd t0: [14:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 69.4008 u1: g * m st: NotStopd t0: [14:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.9097 u1: g*m/m2 st: NotStopd t0: [14:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [14:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [14:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [14:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [14:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 38 u1: BPM st: NotStopd t0: [14:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.7437 u1: ... st: NotStopd t0: [14:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 684.058 u1: ... st: NotStopd t0: [14:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1895.58 u1: ... st: NotStopd t0: [14:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 63.3028 u1: ml st: NotStopd t0: [14:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [14:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [14:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [14:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.9 u1: L/min st: NotStopd
t0: [13:00:00 12/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [14:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [14:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [14:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [14:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [14:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.04469 vu: ml t0: [14:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [14:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [14:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
tf: [19:00:00 28/11/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 0, 8, 16 dn: 3 m1: Piperacillin-Tazobactam Na v1: 4.5 u1: gm m2: Iso-Osmotic Dextrose v2: 100 u2: ml
t0: [14:00:00 12/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [14:00:00 12/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.1 u1: L/min st: NotStopd t0: [14:00:00 12/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [14:00:00 12/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [14:00:00 12/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [14:00:00 12/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 522 u1: ml/B st: NotStopd t0: [14:00:00 12/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd
t0: [15:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [15:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.99639 u1: ... st: NotStopd t0: [15:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [15:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.91752 u1: kg x m st: NotStopd t0: [15:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.213 u1: ... st: NotStopd t0: [15:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 80.58 u1: g * m st: NotStopd t0: [15:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 29.2419 u1: g*m/m2 st: NotStopd t0: [15:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [15:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [15:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [15:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [15:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.0758 u1: ... st: NotStopd t0: [15:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 559.036 u1: ... st: NotStopd t0: [15:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1546.67 u1: ... st: NotStopd t0: [15:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 74.7748 u1: ml st: NotStopd t0: [15:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [15:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [15:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [15:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.3 u1: L/min st: NotStopd
t0: [15:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [15:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [15:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [15:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [15:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [15:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.04469 vu: ml t0: [15:00:00 12/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 55 vu: ml t0: [15:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [15:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [15:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [15:07:00 12/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [15:07:00 12/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [15:07:00 12/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [15:07:00 12/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [15:07:00 12/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [15:07:00 12/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 114 u1: mmHg rs: Final st: NotStopd t0: [15:07:00 12/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [15:07:00 12/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 97 rs: Final st: NotStopd
t0: [15:07:00 12/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.5 rs: Final st: NotStopd t0: [15:07:00 12/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.1 rs: Final st: NotStopd t0: [15:07:00 12/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.5 rs: Final st: NotStopd
t0: [15:50:00 12/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [15:50:00 12/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:50:00 12/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [15:50:00 12/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [15:50:00 12/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [15:50:00 12/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [15:50:00 12/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [15:50:00 12/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [15:50:00 12/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:50:00 12/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [15:50:00 12/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [15:50:00 12/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:50:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 95 u1: % st: NotStopd t0: [15:50:00 12/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 541 u1: ml/B st: NotStopd t0: [15:50:00 12/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [15:50:00 12/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [12:00:00 12/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [15:00:00 12/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 12/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 12/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 12/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [16:00:00 12/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 12/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [16:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.81588 u1: ... st: NotStopd t0: [16:00:00 12/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 12/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 12/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [16:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 12/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [16:00:00 12/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 12/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 12/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 12/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 12/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 12/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 12/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [16:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [16:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 12/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [16:00:00 12/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 12/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 12/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 12/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 12/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 12/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [16:00:00 12/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 12/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 12/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 12/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 12/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 12/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 12/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 12/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 12/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 12/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 12/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.4864 u1: kg x m st: NotStopd t0: [16:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.06859 u1: ... st: NotStopd t0: [16:00:00 12/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 12/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 12/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 12/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 76.16 u1: g * m st: NotStopd t0: [16:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.4368 u1: g*m/m2 st: NotStopd t0: [16:00:00 12/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 12/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 12/11/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: Psych Liason st: NotStopd t0: [16:00:00 12/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:00:00 12/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [16:00:00 12/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [16:00:00 12/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [16:00:00 12/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:00:00 12/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [16:00:00 12/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 12/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 12/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [16:00:00 12/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [16:00:00 12/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 12/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 12/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 12/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [16:00:00 12/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 12/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [16:00:00 12/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 12/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 12/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 12/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 12/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [16:00:00 12/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 12/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 12/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 12/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.2708 u1: ... st: NotStopd t0: [16:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 594.872 u1: ... st: NotStopd t0: [16:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1645.39 u1: ... st: NotStopd t0: [16:00:00 12/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 12/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 12/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 70.2703 u1: ml st: NotStopd t0: [16:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [16:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [16:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [16:00:00 12/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [16:00:00 12/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 12/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 12/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 12/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 12/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.8 u1: L/min st: NotStopd t0: [16:00:00 12/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 12/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 12/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 12/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [16:00:00 12/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [16:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [16:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [16:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [16:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [16:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [16:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.04469 vu: ml t0: [16:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 440 vu: ml
t0: [16:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [16:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [16:50:00 12/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [16:50:00 12/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 85 rs: Final st: NotStopd t0: [16:50:00 12/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [16:50:00 12/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [16:50:00 12/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [16:50:00 12/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 116 u1: mmHg rs: Final st: NotStopd t0: [16:50:00 12/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [16:50:00 12/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 85 rs: Final st: NotStopd
t0: [17:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [17:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.74368 u1: ... st: NotStopd t0: [17:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [17:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [17:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.64864 u1: kg x m st: NotStopd t0: [17:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.74368 u1: ... st: NotStopd t0: [17:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 70.448 u1: g * m st: NotStopd t0: [17:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.2708 u1: g*m/m2 st: NotStopd t0: [17:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [17:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [17:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [17:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.2708 u1: ... st: NotStopd t0: [17:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 557.895 u1: ... st: NotStopd t0: [17:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1547.45 u1: ... st: NotStopd t0: [17:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [17:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 70.3704 u1: ml st: NotStopd t0: [17:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 57 u1: % st: NotStopd t0: [17:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [17:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [17:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.6 u1: L/min st: NotStopd
t0: [17:00:00 12/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [17:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [17:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [17:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [17:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [17:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [17:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.04469 vu: ml t0: [17:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml
t0: [17:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [17:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [18:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.52708 u1: ... st: NotStopd t0: [18:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [18:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 118 u1: BPM st: NotStopd t0: [18:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.3296 u1: kg x m st: NotStopd t0: [18:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.3574 u1: ... st: NotStopd t0: [18:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 78.6352 u1: g * m st: NotStopd t0: [18:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.5199 u1: g*m/m2 st: NotStopd t0: [18:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [18:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [18:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [18:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [18:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 40 u1: BPM st: NotStopd t0: [18:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 21.2996 u1: ... st: NotStopd t0: [18:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.322 u1: ml st: NotStopd t0: [18:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 59 u1: % st: NotStopd t0: [18:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [18:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [18:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7 u1: L/min st: NotStopd
t0: [18:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [18:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [18:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [18:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml t0: [18:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [18:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [18:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.04469 vu: ml t0: [18:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [18:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [18:00:00 12/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 60 rs: Manual st: NotStopd t0: [18:00:00 12/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 60 rs: Manual st: NotStopd t0: [18:30:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:30:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:30:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [18:30:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [18:30:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:30:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [18:30:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:30:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [18:30:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:30:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [18:30:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 57 u1: % st: NotStopd t0: [18:30:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:30:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [18:30:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:30:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip
tf: [18:00:00 13/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 19 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [19:05:00 12/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [19:05:00 12/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [19:05:00 12/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [19:05:00 12/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [19:05:00 12/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [19:05:00 12/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [19:05:00 12/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [19:05:00 12/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [19:05:00 12/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [19:05:00 12/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [19:05:00 12/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [19:05:00 12/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [19:05:00 12/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [16:00:00 12/11/2016] tf: [20:00:00 12/11/2016] dt: 240 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [16:00:00 12/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 5 vu: ml t0: [19:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [19:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [19:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [19:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [19:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [19:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 0.681562 vu: ml t0: [19:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [20:00:00 12/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [20:00:00 12/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 12/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 12/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 12/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 12/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [20:00:00 12/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 12/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13.8 u1: L/min st: NotStopd t0: [20:00:00 12/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 12/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [20:00:00 12/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 12/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [20:00:00 12/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 12/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 12/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
tf: [08:00:00 14/11/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 4, 16 dn: 2 m1: Vancomycin HCl v1: 500 u1: mg m2: D5W v2: 150 u2: ml
t0: [19:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [19:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [19:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [19:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [19:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [19:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [19:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [20:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.99639 u1: ... st: NotStopd t0: [20:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [20:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [20:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.82056 u1: kg x m st: NotStopd t0: [20:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.53791 u1: ... st: NotStopd t0: [20:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 88.74 u1: g * m st: NotStopd t0: [20:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 32.13 u1: g*m/m2 st: NotStopd t0: [20:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [20:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [20:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 12/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [20:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [20:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [20:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.0758 u1: ... st: NotStopd t0: [20:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 616.867 u1: ... st: NotStopd t0: [20:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1706.67 u1: ... st: NotStopd t0: [20:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 75.4545 u1: ml st: NotStopd t0: [20:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [20:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [20:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [20:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.3 u1: L/min st: NotStopd
t0: [20:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [21:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 36 vu: ml t0: [21:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 20 vu: ml t0: [21:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [21:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [21:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 16 vu: ml t0: [21:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.04469 vu: ml t0: [21:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [21:00:00 12/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 150 vu: ml t0: [21:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [19:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [19:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip t0: [20:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.005 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [20:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [21:00:00 12/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 12/11/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 12/11/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 12/11/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 12/11/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 12/11/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 12/11/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 12/11/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [20:45:00 12/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [20:45:00 12/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [20:45:00 12/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [20:45:00 12/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [20:45:00 12/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 174 u1: mmHg rs: Final st: NotStopd t0: [20:45:00 12/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd
t0: [20:45:00 12/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [20:45:00 12/11/2016] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [20:45:00 12/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.4 rs: Final st: NotStopd t0: [20:45:00 12/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [20:45:00 12/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [20:45:00 12/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.04 rs: Final st: NotStopd t0: [20:45:00 12/11/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [20:45:00 12/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.4 rs: Final st: NotStopd t0: [20:45:00 12/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [20:00:00 12/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 12/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 12/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 12/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 12/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/11/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 12/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 12/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 12/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate st: NotStopd t0: [20:00:00 12/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 12/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Disease Process st: NotStopd t0: [20:00:00 12/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 12/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 12/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 12/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 12/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 12/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [20:00:00 12/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [20:00:00 12/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 12/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 12/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 12/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 12/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 12/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [20:00:00 12/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 12/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 12/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 12/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 12/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [20:00:00 12/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 12/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 12/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 12/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 12/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 12/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 12/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 12/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 12/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 12/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 12/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 12/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 12/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [20:00:00 12/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 12/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 12/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 12/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 12/11/2016] id: PresSoreStage/Heal#1 el: 0 cu: CSRU cg: RN v1: Other/Remarks v2: No st: NotStopd t0: [20:00:00 12/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [20:00:00 12/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [20:00:00 12/11/2016] id: PressSore Drng/Amt#1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 12/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [20:00:00 12/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 12/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 12/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 12/11/2016] id: PressSoreWoundBase#1 el: 0 cu: CSRU cg: RN v1: Black st: NotStopd t0: [20:00:00 12/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [20:00:00 12/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 12/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 12/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 12/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 12/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 12/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 12/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 12/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 12/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 12/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 12/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Left Arm st: NotStopd t0: [20:00:00 12/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 12/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 12/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 12/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 12/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 12/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 12/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [20:00:00 12/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [20:00:00 12/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 12/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 12/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 12/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [20:00:00 12/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [21:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [21:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [21:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [21:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [21:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 41 u1: BPM st: NotStopd t0: [21:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [21:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [21:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.005 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [21:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [21:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [22:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [22:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.96029 u1: ... st: NotStopd t0: [22:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [22:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.9216 u1: kg x m st: NotStopd t0: [22:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.213 u1: ... st: NotStopd t0: [22:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 82.688 u1: g * m st: NotStopd t0: [22:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 29.9639 u1: g*m/m2 st: NotStopd t0: [22:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [22:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [22:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [22:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [22:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.4368 u1: ... st: NotStopd t0: [22:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 536.585 u1: ... st: NotStopd t0: [22:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1486.49 u1: ... st: NotStopd t0: [22:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 75.9259 u1: ml st: NotStopd t0: [22:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [22:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [22:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [22:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.2 u1: L/min st: NotStopd t0: [23:00:00 12/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 12/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [23:00:00 12/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.63538 u1: ... st: NotStopd t0: [23:00:00 12/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 12/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 12/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [23:00:00 12/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [23:00:00 12/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [23:00:00 12/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 12/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.84312 u1: kg x m st: NotStopd t0: [23:00:00 12/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.81588 u1: ... st: NotStopd t0: [23:00:00 12/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 71.9848 u1: g * m st: NotStopd t0: [23:00:00 12/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.9928 u1: g*m/m2 st: NotStopd t0: [23:00:00 12/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [23:00:00 12/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [23:00:00 12/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [23:00:00 12/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [23:00:00 12/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [23:00:00 12/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.1877 u1: ... st: NotStopd t0: [23:00:00 12/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 613.699 u1: ... st: NotStopd t0: [23:00:00 12/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1696.97 u1: ... st: NotStopd t0: [23:00:00 12/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 12/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 66.9725 u1: ml st: NotStopd t0: [23:00:00 12/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [23:00:00 12/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 12/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [23:00:00 12/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [23:00:00 12/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 12/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.3 u1: L/min st: NotStopd
t0: [07:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [08:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [09:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [10:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [11:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [12:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [13:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [14:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [15:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [16:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [17:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [18:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [19:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [20:00:00 12/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [20:00:00 12/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 100 vu: ml t0: [22:00:00 12/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [22:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [22:55:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [23:00:00 12/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [23:00:00 12/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 36 vu: ml t0: [23:00:00 12/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 20 vu: ml t0: [23:00:00 12/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [23:00:00 12/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 21.81 vu: ml t0: [23:00:00 12/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 16 vu: ml t0: [23:00:00 12/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 1.36312 vu: ml t0: [23:00:00 12/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [23:00:00 12/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [23:00:00 12/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 380 vu: ml
t0: [22:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.005 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [22:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 12/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 12/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 12/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 12/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [23:00:00 12/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 12/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 420 cv: 420 ap: none t0: [23:00:00 12/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 170 cv: 2030 ap: none t0: [23:00:00 12/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 380 cv: 5560 ap: none t0: [23:00:00 12/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 420 cv: 6040 ap: none
t0: [22:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip t0: [23:00:00 12/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 50 su: ml rt: IV Drip
tf: [22:00:00 13/11/2016] pt: Unit Dose rt: PO fr: ONCE fs: 23 dn: 1 m1: Oxazepam v1: 10-20 u1: mg
tf: [00:00:00 14/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 1 dn: 1 m1: Amiodarone HCl v1: 150 u1: mg tf: [00:00:00 14/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 1 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm tf: [11:00:00 14/11/2016] pt: IV Piggyback rt: IV fr: INFUSION m1: Amiodarone HCl v1: 600 u1: mg m2: D5W (EXCEL BAG) v2: 250 u2: ml
t0: [21:00:00 12/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 22cm v2: Lip st: NotStopd t0: [21:00:00 12/11/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 7.5 mm st: NotStopd t0: [21:00:00 12/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [21:00:00 12/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [21:00:00 12/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [21:00:00 12/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 12/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [23:00:00 12/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [23:00:00 12/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 12/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [23:00:00 12/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [23:00:00 12/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [23:00:00 12/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [23:00:00 12/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [00:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 13/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [00:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.12996 u1: ... st: NotStopd t0: [00:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 13/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 152 u1: BPM st: NotStopd t0: [00:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 13/11/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 7.5 mm st: NotStopd t0: [00:00:00 13/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [00:00:00 13/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.6228 u1: kg x m st: NotStopd t0: [00:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.74368 u1: ... st: NotStopd t0: [00:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 50.388 u1: g * m st: NotStopd t0: [00:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 18.0505 u1: g*m/m2 st: NotStopd t0: [00:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [00:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [00:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [00:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 13/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [00:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 36 u1: BPM st: NotStopd t0: [00:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 14.0794 u1: ... st: NotStopd t0: [00:00:00 13/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1016.95 u1: ... st: NotStopd t0: [00:00:00 13/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2816.9 u1: ... st: NotStopd t0: [00:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 13/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 13/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 38.8158 u1: ml st: NotStopd t0: [00:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 58 u1: % st: NotStopd t0: [00:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [00:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [00:00:00 13/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [00:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.9 u1: L/min st: NotStopd t0: [01:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 13/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [01:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.98556 u1: ... st: NotStopd t0: [01:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 13/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [01:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.0116 u1: kg x m st: NotStopd t0: [01:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.80505 u1: ... st: NotStopd t0: [01:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 55.5832 u1: g * m st: NotStopd t0: [01:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 20.2166 u1: g*m/m2 st: NotStopd t0: [01:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [01:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [01:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 13/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [01:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.0217 u1: ... st: NotStopd t0: [01:00:00 13/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 596.364 u1: ... st: NotStopd t0: [01:00:00 13/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1648.24 u1: ... st: NotStopd t0: [01:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61.1111 u1: ml st: NotStopd t0: [01:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [01:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [01:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [01:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.5 u1: L/min st: NotStopd
t0: [00:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [00:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 13/11/2016] tf: [01:00:00 13/11/2016] dt: 60 id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml t0: [00:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [00:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [01:00:00 13/11/2016] tf: [10:00:00 15/11/2016] dt: 3420 id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [00:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [00:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml t0: [01:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [01:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [01:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [01:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [01:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [01:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 3.40781 vu: ml t0: [01:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [01:00:00 13/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [01:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [00:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.025 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [00:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip t0: [01:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [01:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 13/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 150 ap: none t0: [23:00:00 13/11/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 70 ap: none
t0: [02:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 13/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [02:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.59928 u1: ... st: NotStopd t0: [02:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 13/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [02:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.14816 u1: kg x m st: NotStopd t0: [02:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.56318 u1: ... st: NotStopd t0: [02:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 74.46 u1: g * m st: NotStopd t0: [02:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.7148 u1: g*m/m2 st: NotStopd t0: [02:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [02:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [02:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [02:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 13/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [02:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.0758 u1: ... st: NotStopd t0: [02:00:00 13/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 522.222 u1: ... st: NotStopd t0: [02:00:00 13/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1446.15 u1: ... st: NotStopd t0: [02:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 75 u1: ml st: NotStopd t0: [02:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [02:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [02:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [02:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.2 u1: L/min st: NotStopd
t0: [02:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [02:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [02:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [02:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [02:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [02:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [02:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [02:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [02:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 12/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -44.8269 cv: -44.8269 ap: none t0: [23:00:00 12/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 145.173 cv: 2774.47 ap: none t0: [23:00:00 12/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 375.173 cv: 5024.47 ap: none t0: [23:00:00 12/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -44.8269 cv: -1015.53 ap: none t0: [23:00:00 12/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -44.8269 cv: 13684.7 ap: none
t0: [03:09:00 13/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [03:09:00 13/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [03:09:00 13/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [03:09:00 13/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [03:09:00 13/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 220 u1: mmHg rs: Final st: NotStopd t0: [03:09:00 13/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd
t0: [03:09:00 13/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 206 rs: Final st: NotStopd t0: [03:09:00 13/11/2016] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [03:09:00 13/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [03:09:00 13/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [03:09:00 13/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 206 rs: Final st: NotStopd t0: [03:09:00 13/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.13 rs: Final st: NotStopd t0: [03:09:00 13/11/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [03:09:00 13/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [03:09:00 13/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd
t0: [03:12:00 13/11/2016] id: Mixed Venous O2 Blood Gases el: 0 cu: CSRU cg: 3161 v1: 38 rs: Final st: NotStopd t0: [03:12:00 13/11/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 70 rs: Final st: NotStopd
t0: [02:36:00 13/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9.3 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 9.3 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30.4 u1: % rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 156 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.41 u1: /mic l rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9.3 rs: Final st: NotStopd
t0: [03:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.81588 u1: ... st: NotStopd t0: [03:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 13/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 13/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [03:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.31952 u1: kg x m st: NotStopd t0: [03:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.63538 u1: ... st: NotStopd t0: [03:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 73.1952 u1: g * m st: NotStopd t0: [03:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.3538 u1: g*m/m2 st: NotStopd t0: [03:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [03:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [03:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 13/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [03:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.1588 u1: ... st: NotStopd t0: [03:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 78 u1: ml st: NotStopd t0: [03:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [03:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [03:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [03:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.8 u1: L/min st: NotStopd t0: [03:12:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.53791 u1: ... st: NotStopd t0: [03:12:00 13/11/2016] id: C.O. (fick) el: 0 cu: CSRU cg: RN v1: 9.76551 u1: L/min st: NotStopd t0: [04:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 13/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [04:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.74368 u1: ... st: NotStopd t0: [04:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 13/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [04:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.19904 u1: kg x m st: NotStopd t0: [04:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.3213 u1: ... st: NotStopd t0: [04:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 85.9384 u1: g * m st: NotStopd t0: [04:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.0469 u1: g*m/m2 st: NotStopd t0: [04:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [04:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [04:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [04:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 13/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [04:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.6318 u1: ... st: NotStopd t0: [04:00:00 13/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 652.632 u1: ... st: NotStopd t0: [04:00:00 13/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1810.22 u1: ... st: NotStopd t0: [04:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 71.028 u1: ml st: NotStopd t0: [04:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [04:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [04:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.6 u1: L/min st: NotStopd
t0: [03:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [03:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [03:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [03:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [03:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [03:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [03:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [03:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [04:00:00 13/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [04:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [04:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [04:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [04:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [04:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [04:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [04:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [03:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip t0: [04:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [04:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [02:36:00 13/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 47.5 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 47.5 rs: Final st: NotStopd t0: [04:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd
t0: [02:36:00 13/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 96 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 195 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.9 u1: mg/dl rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 96 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 195 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [02:36:00 13/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd
t0: [00:00:00 13/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 22.4359 u1: ml/cmH st: NotStopd t0: [00:00:00 13/11/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT u1: units st: NotStopd t0: [00:00:00 13/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 13/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 13/11/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 13/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 13/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10.6 u1: cmH2O st: NotStopd t0: [00:00:00 13/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 14.5 u1: L/min st: NotStopd t0: [00:00:00 13/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 13/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 36.2 u1: cmH2O st: NotStopd t0: [00:00:00 13/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [00:00:00 13/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:00:00 13/11/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT u1: units st: NotStopd t0: [00:00:00 13/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 5 u1: BPM st: NotStopd t0: [00:00:00 13/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 13/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [00:00:00 13/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 13/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 750 u1: ml/B st: NotStopd t0: [00:00:00 13/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [00:00:00 13/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 13/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 21.2121 u1: ml/cmH st: NotStopd t0: [04:00:00 13/11/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 77.7778 u1: units st: NotStopd t0: [04:00:00 13/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 13/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 13/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 13/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 13/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 13/11/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 13/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [04:00:00 13/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 13/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11.2 u1: cmH2O st: NotStopd t0: [04:00:00 13/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 14.8 u1: L/min st: NotStopd t0: [04:00:00 13/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 13/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 38 u1: cmH2O st: NotStopd t0: [04:00:00 13/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [04:00:00 13/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [04:00:00 13/11/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 77.7778 u1: units st: NotStopd t0: [04:00:00 13/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [04:00:00 13/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [04:00:00 13/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [04:00:00 13/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 13/11/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 13/11/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.45 u1: L st: NotStopd t0: [04:00:00 13/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 13/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 13/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 720 u1: ml/B st: NotStopd t0: [04:00:00 13/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [04:00:00 13/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 13/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [05:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.03249 u1: ... st: NotStopd t0: [05:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 13/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [05:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.22528 u1: kg x m st: NotStopd t0: [05:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.96029 u1: ... st: NotStopd t0: [05:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 78.336 u1: g * m st: NotStopd t0: [05:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.1588 u1: g*m/m2 st: NotStopd t0: [05:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [05:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [05:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 13/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 162.2 u1: kg st: NotStopd t0: [05:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.8809 u1: ... st: NotStopd t0: [05:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 80 u1: ml st: NotStopd t0: [05:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [05:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [05:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [05:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.4 u1: L/min st: NotStopd
t0: [05:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [05:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [05:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [05:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [05:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [05:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [05:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [05:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [05:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [05:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 13/11/2016] id: INV Line#2 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 13/11/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 13/11/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 13/11/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [20:00:00 12/11/2016] id: INV Line#2 D/C Date el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [02:00:00 13/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [02:00:00 13/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [02:00:00 13/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [02:00:00 13/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [02:00:00 13/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [02:00:00 13/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [02:00:00 13/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [02:00:00 13/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [02:00:00 13/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 13/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 13/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [02:00:00 13/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 13/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [02:00:00 13/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [02:00:00 13/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [05:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 13/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [06:00:00 13/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [06:00:00 13/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [06:00:00 13/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [06:00:00 13/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 13/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [06:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.88809 u1: ... st: NotStopd t0: [06:00:00 13/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [06:00:00 13/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 13/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate st: NotStopd t0: [06:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 13/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 205 rs: Manual st: NotStopd t0: [06:00:00 13/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 13/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 13/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Disease Process st: NotStopd t0: [06:00:00 13/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 13/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 13/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [06:00:00 13/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [06:00:00 13/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [06:00:00 13/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [06:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [06:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 13/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [06:00:00 13/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [06:00:00 13/11/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 13/11/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [06:00:00 13/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [06:00:00 13/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28/ st: NotStopd t0: [06:00:00 13/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [06:00:00 13/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [06:00:00 13/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 13/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [06:00:00 13/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples st: NotStopd t0: [06:00:00 13/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [06:00:00 13/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 13/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 13/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [06:00:00 13/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [06:00:00 13/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [06:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.0512 u1: kg x m st: NotStopd t0: [06:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.92419 u1: ... st: NotStopd t0: [06:00:00 13/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 13/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 13/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [06:00:00 13/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 75.48 u1: g * m st: NotStopd t0: [06:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.0758 u1: g*m/m2 st: NotStopd t0: [06:00:00 13/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [06:00:00 13/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 13/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 13/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 13/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [06:00:00 13/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [06:00:00 13/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [06:00:00 13/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [06:00:00 13/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [06:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [06:00:00 13/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [06:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [06:00:00 13/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [06:00:00 13/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 13/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [06:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 13/11/2016] id: PresSoreStage/Heal#1 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [06:00:00 13/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [06:00:00 13/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [06:00:00 13/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [06:00:00 13/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [06:00:00 13/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [06:00:00 13/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [06:00:00 13/11/2016] id: PressSoreWoundBase#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [06:00:00 13/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [06:00:00 13/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [06:00:00 13/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [06:00:00 13/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 13/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 13/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 13/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 13/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 13/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 13/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [06:00:00 13/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [06:00:00 13/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Left Arm st: NotStopd t0: [06:00:00 13/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 13/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.0758 u1: ... st: NotStopd t0: [06:00:00 13/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 520 u1: ... st: NotStopd t0: [06:00:00 13/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1439.45 u1: ... st: NotStopd t0: [06:00:00 13/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 13/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 13/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [06:00:00 13/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [06:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 75.4717 u1: ml st: NotStopd t0: [06:00:00 13/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [06:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [06:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [06:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [06:00:00 13/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [06:00:00 13/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [06:00:00 13/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [06:00:00 13/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 13/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [06:00:00 13/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 13/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [06:00:00 13/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 205 rs: Manual st: NotStopd t0: [06:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8 u1: L/min st: NotStopd t0: [06:00:00 13/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [05:00:00 13/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [06:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [06:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 13/11/2016] tf: [09:00:00 14/11/2016] dt: 1620 id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 3 vu: ml t0: [06:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [06:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [06:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [06:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [06:00:00 13/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [06:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 310 vu: ml
t0: [05:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 50 su: ml rt: IV Drip t0: [06:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [06:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [07:31:00 13/11/2016] id: Remote Alarm el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [07:30:00 13/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 17.9487 u1: ml/cmH st: NotStopd t0: [07:30:00 13/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [07:30:00 13/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [07:30:00 13/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [07:30:00 13/11/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [07:30:00 13/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [07:30:00 13/11/2016] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [07:30:00 13/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [07:30:00 13/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [07:30:00 13/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [07:30:00 13/11/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [07:30:00 13/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [07:30:00 13/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [07:30:00 13/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 14.8 u1: cmH2O st: NotStopd t0: [07:30:00 13/11/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [07:30:00 13/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 14.2 u1: L/min st: NotStopd t0: [07:30:00 13/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:30:00 13/11/2016] id: Pause Time % el: 0 cu: CSRU cg: RRT v1: 0% st: NotStopd t0: [07:30:00 13/11/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: RRT v1: 42.4242 u1: lpm st: NotStopd t0: [07:30:00 13/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 44 u1: cmH2O st: NotStopd t0: [07:30:00 13/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [07:30:00 13/11/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [07:30:00 13/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [07:30:00 13/11/2016] id: Remote Alarm el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [07:30:00 13/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [07:30:00 13/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [07:30:00 13/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [07:30:00 13/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:30:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [07:30:00 13/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 716 u1: ml/B st: NotStopd t0: [07:30:00 13/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [07:30:00 13/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 377 u1: ml/B st: NotStopd t0: [07:30:00 13/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [07:30:00 13/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [07:30:00 13/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd t0: [07:30:00 13/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd
t0: [07:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.03249 u1: ... st: NotStopd t0: [07:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 13/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [07:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.45376 u1: kg x m st: NotStopd t0: [07:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.06859 u1: ... st: NotStopd t0: [07:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 79.5056 u1: g * m st: NotStopd t0: [07:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.8809 u1: g*m/m2 st: NotStopd t0: [07:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [07:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [07:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [07:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.5199 u1: ... st: NotStopd t0: [07:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 79.2453 u1: ml st: NotStopd t0: [07:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [07:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [07:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [07:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.4 u1: L/min st: NotStopd
t0: [07:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [07:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [07:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [07:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [07:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [07:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [07:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [07:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [07:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [07:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
tf: [07:00:00 14/11/2016] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 8 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [08:52:00 13/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [08:52:00 13/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 164 rs: Final st: NotStopd t0: [08:52:00 13/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [08:52:00 13/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [08:52:00 13/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [08:52:00 13/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 147 u1: mmHg rs: Final st: NotStopd t0: [08:52:00 13/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [08:52:00 13/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 164 rs: Final st: NotStopd
t0: [08:00:00 13/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 13/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [08:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.99639 u1: ... st: NotStopd t0: [08:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 13/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [08:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.57888 u1: kg x m st: NotStopd t0: [08:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.10469 u1: ... st: NotStopd t0: [08:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 79.5872 u1: g * m st: NotStopd t0: [08:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.8809 u1: g*m/m2 st: NotStopd t0: [08:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [08:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [08:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.7978 u1: ... st: NotStopd t0: [08:00:00 13/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 462.651 u1: ... st: NotStopd t0: [08:00:00 13/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1280 u1: ... st: NotStopd t0: [08:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 76.8519 u1: ml st: NotStopd t0: [08:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [08:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [08:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [08:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.3 u1: L/min st: NotStopd t0: [08:52:00 13/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.6 rs: Final st: NotStopd t0: [08:52:00 13/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.05 rs: Final st: NotStopd t0: [08:52:00 13/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.6 rs: Final st: NotStopd t0: [09:00:00 13/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [09:00:00 13/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [09:00:00 13/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [09:00:00 13/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [09:00:00 13/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 13/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg st: NotStopd t0: [09:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.06859 u1: ... st: NotStopd t0: [09:00:00 13/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [09:00:00 13/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [09:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 13/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate v2: H2 Blocker st: NotStopd t0: [09:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 13/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [09:00:00 13/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [09:00:00 13/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [09:00:00 13/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Disease Process st: NotStopd t0: [09:00:00 13/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [09:00:00 13/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [09:00:00 13/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [09:00:00 13/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [09:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [09:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 13/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [09:00:00 13/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [09:00:00 13/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 13/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 13/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [09:00:00 13/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [09:00:00 13/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [09:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.5544 u1: kg x m st: NotStopd t0: [09:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.10469 u1: ... st: NotStopd t0: [09:00:00 13/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [09:00:00 13/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 13/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [09:00:00 13/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 77.4928 u1: g * m st: NotStopd t0: [09:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.7978 u1: g*m/m2 st: NotStopd t0: [09:00:00 13/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [09:00:00 13/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [09:00:00 13/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [09:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [09:00:00 13/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [09:00:00 13/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [09:00:00 13/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [09:00:00 13/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [09:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [09:00:00 13/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [09:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 13/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 13/11/2016] id: PresSoreStage/Heal#1 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [09:00:00 13/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [09:00:00 13/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [09:00:00 13/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [09:00:00 13/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [09:00:00 13/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [09:00:00 13/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [09:00:00 13/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [09:00:00 13/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [09:00:00 13/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [09:00:00 13/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [09:00:00 13/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 13/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [09:00:00 13/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 13/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [09:00:00 13/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 13/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [09:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 13/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [09:00:00 13/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Left Arm st: NotStopd t0: [09:00:00 13/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [09:00:00 13/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [09:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.7978 u1: ... st: NotStopd t0: [09:00:00 13/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 310.588 u1: ... st: NotStopd t0: [09:00:00 13/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 859.935 u1: ... st: NotStopd t0: [09:00:00 13/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 13/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [09:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 13/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [09:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 77.2727 u1: ml st: NotStopd t0: [09:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [09:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [09:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [09:00:00 13/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [09:00:00 13/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [09:00:00 13/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [09:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 13/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [09:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.5 u1: L/min st: NotStopd t0: [09:00:00 13/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [08:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [08:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [08:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [08:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [08:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [08:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [08:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [08:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml t0: [09:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [09:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [09:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [09:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [09:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [09:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [09:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [08:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [08:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip t0: [09:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [09:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [09:00:00 13/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
t0: [09:30:00 13/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [09:30:00 13/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [09:30:00 13/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [09:30:00 13/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:30:00 13/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [09:30:00 13/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [09:30:00 13/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [09:30:00 13/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [09:30:00 13/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [09:30:00 13/11/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 11.8 u1: L/min st: NotStopd t0: [09:30:00 13/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:30:00 13/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [09:30:00 13/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [09:30:00 13/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:30:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [09:30:00 13/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [09:30:00 13/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [09:30:00 13/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [09:30:00 13/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd
tf: [11:00:00 13/11/2016] pt: IV Piggyback rt: IV fr: INFUSION m1: Milrinone v1: 20 u1: mg m2: D5W v2: 100 u2: ml tf: [09:00:00 15/11/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Furosemide v1: 100 u1: mg m2: D5W v2: 50 u2: ml
t0: [09:00:00 13/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [09:00:00 13/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [09:00:00 13/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 13/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [09:00:00 13/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [09:00:00 13/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [09:00:00 13/11/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 13/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28/ st: NotStopd t0: [09:00:00 13/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [09:00:00 13/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 13/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [09:00:00 13/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 13/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 13/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 13/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [09:00:00 13/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [09:00:00 13/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 13/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg st: NotStopd t0: [10:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.56318 u1: ... st: NotStopd t0: [10:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 13/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 133 rs: Manual st: NotStopd t0: [10:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [10:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [10:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.04888 u1: kg x m st: NotStopd t0: [10:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.52708 u1: ... st: NotStopd t0: [10:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 64.532 u1: g * m st: NotStopd t0: [10:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.4657 u1: g*m/m2 st: NotStopd t0: [10:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [10:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [10:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [10:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [10:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.4657 u1: ... st: NotStopd t0: [10:00:00 13/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 360.563 u1: ... st: NotStopd t0: [10:00:00 13/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1000 u1: ... st: NotStopd t0: [10:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 64.5455 u1: ml st: NotStopd t0: [10:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [10:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [10:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [10:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 13/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 133 rs: Manual st: NotStopd t0: [10:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.1 u1: L/min st: NotStopd
t0: [10:00:00 13/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [10:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [10:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [10:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [10:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [10:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [10:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [10:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [10:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [10:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [10:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 13/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [10:00:00 13/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [11:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 13/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [11:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.34657 u1: ... st: NotStopd t0: [11:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 13/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 156 rs: Manual st: NotStopd t0: [11:00:00 13/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [11:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [11:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.2212 u1: kg x m st: NotStopd t0: [11:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.96029 u1: ... st: NotStopd t0: [11:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 77.1528 u1: g * m st: NotStopd t0: [11:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.7978 u1: g*m/m2 st: NotStopd t0: [11:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [11:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [11:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [11:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [11:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.0217 u1: ... st: NotStopd t0: [11:00:00 13/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 750.769 u1: ... st: NotStopd t0: [11:00:00 13/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2076.6 u1: ... st: NotStopd t0: [11:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 60.7477 u1: ml st: NotStopd t0: [11:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [11:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [11:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [11:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 13/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 156 rs: Manual st: NotStopd t0: [11:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [11:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [11:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [11:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [11:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [11:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [11:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [11:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [11:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [11:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [11:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [11:18:00 13/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [11:18:00 13/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [11:18:00 13/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [11:18:00 13/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [11:18:00 13/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 104 u1: mmHg rs: Final st: NotStopd t0: [11:18:00 13/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd
t0: [12:00:00 13/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [12:00:00 13/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [12:00:00 13/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [12:00:00 13/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 13/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 13/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 13/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 13/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [12:00:00 13/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [12:00:00 13/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:00:00 13/11/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 12.4 u1: L/min st: NotStopd t0: [12:00:00 13/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 13/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:00:00 13/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [12:00:00 13/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [12:00:00 13/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 497 u1: ml/B st: NotStopd t0: [12:00:00 13/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 13/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [12:00:00 13/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd
t0: [11:00:00 13/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Frothy st: NotStopd t0: [11:00:00 13/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
tf: [09:00:00 15/11/2016] pt: IV Piggyback rt: IV fr: INFUSION m1: Milrinone v1: 20 u1: mg m2: D5W v2: 100 u2: ml
t0: [12:00:00 13/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.92419 u1: ... st: NotStopd t0: [12:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 13/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 13/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [12:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [12:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.05024 u1: kg x m st: NotStopd t0: [12:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.56318 u1: ... st: NotStopd t0: [12:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 66.1504 u1: g * m st: NotStopd t0: [12:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.8267 u1: g*m/m2 st: NotStopd t0: [12:00:00 13/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [12:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [12:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [12:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [12:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.4368 u1: ... st: NotStopd t0: [12:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 75.7009 u1: ml st: NotStopd t0: [12:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [12:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [12:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [12:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.1 u1: L/min st: NotStopd
t0: [12:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [12:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [12:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [12:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [12:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [12:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.04469 vu: ml t0: [12:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [12:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [12:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [12:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 13/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 133 rs: Manual st: NotStopd t0: [12:00:00 13/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 133 rs: Manual st: NotStopd
t0: [12:32:00 13/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [12:32:00 13/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [12:32:00 13/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [12:32:00 13/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [12:32:00 13/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 111 u1: mmHg rs: Final st: NotStopd t0: [12:32:00 13/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd
t0: [12:32:00 13/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 4 rs: Final st: NotStopd t0: [12:32:00 13/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.1 rs: Final st: NotStopd t0: [12:32:00 13/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4 rs: Final st: NotStopd t0: [13:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 13/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [13:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.77978 u1: ... st: NotStopd t0: [13:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 13/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [13:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.74928 u1: kg x m st: NotStopd t0: [13:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.77978 u1: ... st: NotStopd t0: [13:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 73.4672 u1: g * m st: NotStopd t0: [13:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.3538 u1: g*m/m2 st: NotStopd t0: [13:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [13:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [13:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [13:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 26.3538 u1: ... st: NotStopd t0: [13:00:00 13/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 509.091 u1: ... st: NotStopd t0: [13:00:00 13/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1410.07 u1: ... st: NotStopd t0: [13:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 73.3333 u1: ml st: NotStopd t0: [13:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [13:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [13:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [13:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.7 u1: L/min st: NotStopd
t0: [13:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [13:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [13:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [13:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [13:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [13:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml t0: [13:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [13:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml
t0: [13:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.035 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [13:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 13/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 153 rs: Manual st: NotStopd t0: [13:00:00 13/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 153 rs: Manual st: NotStopd
t0: [13:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [12:17:00 13/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [12:17:00 13/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd
t0: [13:00:00 13/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [13:00:00 13/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 13/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 13/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [13:00:00 13/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [13:00:00 13/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [13:00:00 13/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.3574 u1: ... st: NotStopd t0: [14:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 13/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 133 rs: Manual st: NotStopd t0: [14:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [14:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.99192 u1: kg x m st: NotStopd t0: [14:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.61011 u1: ... st: NotStopd t0: [14:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 92.3984 u1: g * m st: NotStopd t0: [14:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.213 u1: g*m/m2 st: NotStopd t0: [14:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [14:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [14:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [14:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 31.0469 u1: ... st: NotStopd t0: [14:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 86.1111 u1: ml st: NotStopd t0: [14:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [14:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [14:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [14:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 13/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 133 rs: Manual st: NotStopd t0: [14:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 9.3 u1: L/min st: NotStopd
t0: [13:00:00 13/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [14:00:00 13/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [14:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [14:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 7 vu: ml t0: [14:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [14:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [14:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.77094 vu: ml t0: [14:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [14:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml
t0: [14:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.035 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [14:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [15:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.85199 u1: ... st: NotStopd t0: [15:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [15:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.41336 u1: kg x m st: NotStopd t0: [15:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.67148 u1: ... st: NotStopd t0: [15:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 72.2568 u1: g * m st: NotStopd t0: [15:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.9928 u1: g*m/m2 st: NotStopd t0: [15:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [15:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [15:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [15:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.7978 u1: ... st: NotStopd t0: [15:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 76.699 u1: ml st: NotStopd t0: [15:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [15:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [15:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [15:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.9 u1: L/min st: NotStopd
t0: [15:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [15:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [15:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 7 vu: ml t0: [15:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [15:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [15:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.77094 vu: ml t0: [15:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [15:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 440 vu: ml
t0: [15:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.035 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [15:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [15:15:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:15:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.96029 u1: ... st: NotStopd t0: [15:15:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:15:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:15:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [15:15:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 155 u1: BPM st: NotStopd t0: [15:15:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [15:15:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.69488 u1: kg x m st: NotStopd t0: [15:15:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.77978 u1: ... st: NotStopd t0: [15:15:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 49.7352 u1: g * m st: NotStopd t0: [15:15:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 18.0505 u1: g*m/m2 st: NotStopd t0: [15:15:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [15:15:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [15:15:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [15:15:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:15:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:15:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 19.1336 u1: ... st: NotStopd t0: [15:15:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [15:15:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.9032 u1: ml st: NotStopd t0: [15:15:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [15:15:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:15:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.2 u1: L/min st: NotStopd
t0: [15:15:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:15:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.035 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:15:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:15:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [15:15:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:15:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 50 su: ml rt: IV Drip
tf: [08:00:00 14/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 16 dn: 1 m1: Amiodarone HCl v1: 150 u1: mg
t0: [16:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 13/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [16:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.77978 u1: ... st: NotStopd t0: [16:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 131 u1: BPM st: NotStopd t0: [16:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.01624 u1: kg x m st: NotStopd t0: [16:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.52708 u1: ... st: NotStopd t0: [16:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.7608 u1: g * m st: NotStopd t0: [16:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 19.4946 u1: g*m/m2 st: NotStopd t0: [16:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [16:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [16:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [16:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 21.2996 u1: ... st: NotStopd t0: [16:00:00 13/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 457.143 u1: ... st: NotStopd t0: [16:00:00 13/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1266.19 u1: ... st: NotStopd t0: [16:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.7786 u1: ml st: NotStopd t0: [16:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 57 u1: % st: NotStopd t0: [16:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [16:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [16:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.7 u1: L/min st: NotStopd
t0: [16:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [16:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [16:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 7 vu: ml t0: [16:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [16:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [16:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.77094 vu: ml t0: [16:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [16:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 580 vu: ml
t0: [16:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [16:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 12/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RRT u1: kg st: NotStopd t0: [16:00:00 13/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [16:00:00 13/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [16:00:00 13/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [16:00:00 13/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 13/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 13/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 13/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 13/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [16:00:00 13/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [16:00:00 13/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 13/11/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 13 u1: L/min st: NotStopd t0: [16:00:00 13/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 13/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 13/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [16:00:00 13/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 13/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 507 u1: ml/B st: NotStopd t0: [16:00:00 13/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 13/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [16:00:00 13/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd
t0: [15:43:00 13/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [15:43:00 13/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 123 rs: Final st: NotStopd t0: [15:43:00 13/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 9 rs: Final st: NotStopd t0: [15:43:00 13/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 36 rs: Final st: NotStopd t0: [15:43:00 13/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 54 u1: mmHg rs: Final st: NotStopd t0: [15:43:00 13/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 134 u1: mmHg rs: Final st: NotStopd t0: [15:43:00 13/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [15:43:00 13/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 123 rs: Final st: NotStopd t0: [15:43:00 13/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.24 rs: Final st: NotStopd
t0: [16:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 13/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 13/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 13/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 13/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 13/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 13/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 13/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: H2 Blocker st: NotStopd t0: [12:00:00 13/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 13/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 13/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Disease Process st: NotStopd t0: [12:00:00 13/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 13/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 13/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 13/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 13/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [12:00:00 13/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 13/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 13/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 13/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28/ st: NotStopd t0: [12:00:00 13/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 13/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [12:00:00 13/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 13/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [12:00:00 13/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 13/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 13/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 13/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 13/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 13/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 13/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 13/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 13/11/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: Psych Liason st: NotStopd t0: [12:00:00 13/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [12:00:00 13/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 13/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [12:00:00 13/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 13/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 13/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 13/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 13/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 13/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 13/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 13/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 13/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 13/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 13/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 13/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 13/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Left Arm st: NotStopd t0: [12:00:00 13/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 13/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 13/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 13/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 13/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 13/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 13/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 13/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 13/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 13/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 13/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [15:00:00 13/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 13/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 13/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 13/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 13/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [15:00:00 13/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [15:00:00 13/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [15:43:00 13/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 4.1 rs: Final st: NotStopd t0: [15:43:00 13/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.1 rs: Final st: NotStopd t0: [16:00:00 13/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 13/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 13/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 13/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [16:00:00 13/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 13/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 13/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 13/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 13/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 13/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate v2: H2 Blocker st: NotStopd t0: [16:00:00 13/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 13/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 13/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 13/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 13/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 13/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 13/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [16:00:00 13/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 13/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 13/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 13/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28/ st: NotStopd t0: [16:00:00 13/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 13/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [16:00:00 13/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 13/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [16:00:00 13/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 13/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 13/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 13/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 13/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 13/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 13/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 13/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 13/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 13/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 13/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [16:00:00 13/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 13/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 13/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [16:00:00 13/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [16:00:00 13/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [16:00:00 13/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 13/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 13/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 13/11/2016] id: PresSoreStage/Heal#1 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [16:00:00 13/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [16:00:00 13/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [16:00:00 13/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [16:00:00 13/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [16:00:00 13/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [16:00:00 13/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 13/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 13/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 13/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [16:00:00 13/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [16:00:00 13/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 13/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 13/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 13/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 13/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 13/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 13/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 13/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 13/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 13/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 13/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Left Arm st: NotStopd t0: [16:00:00 13/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 13/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 13/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 13/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 13/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 13/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: None st: NotStopd t0: [16:00:00 13/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 13/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 13/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 13/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 13/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [17:00:00 13/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [17:00:00 13/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bed as Chair st: NotStopd t0: [17:00:00 13/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [17:00:00 13/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [17:00:00 13/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [17:00:00 13/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 13/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [17:00:00 13/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [17:00:00 13/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [08:00:00 13/11/2016] tf: [17:00:00 17/11/2016] dt: 6300 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 0 vu: ml t0: [08:00:00 13/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [09:00:00 13/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [10:00:00 13/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [11:00:00 13/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [12:00:00 13/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [12:00:00 13/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [13:00:00 13/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [14:00:00 13/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [15:00:00 13/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [16:00:00 13/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [16:00:00 13/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [16:00:00 13/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [16:00:00 13/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Medium
t0: [23:00:00 13/11/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [17:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.38267 u1: ... st: NotStopd t0: [17:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [17:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.00128 u1: kg x m st: NotStopd t0: [17:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.52708 u1: ... st: NotStopd t0: [17:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 65.7696 u1: g * m st: NotStopd t0: [17:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.8267 u1: g*m/m2 st: NotStopd t0: [17:00:00 13/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [17:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [17:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [17:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 40 u1: BPM st: NotStopd t0: [17:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.3827 u1: ... st: NotStopd t0: [17:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61.6822 u1: ml st: NotStopd t0: [17:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [17:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [17:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [17:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.6 u1: L/min st: NotStopd
t0: [17:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [17:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [17:00:00 13/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [17:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 7 vu: ml t0: [17:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [17:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [17:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [17:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [17:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 500 vu: ml
t0: [17:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [17:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3.5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [17:00:00 13/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 97 rs: Manual st: NotStopd t0: [17:00:00 13/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 97 rs: Manual st: NotStopd
t0: [17:00:00 13/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
tf: [08:00:00 14/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 18 dn: 1 m1: Amiodarone HCl v1: 150 u1: mg
t0: [18:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.70758 u1: ... st: NotStopd t0: [18:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [18:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.466 u1: kg x m st: NotStopd t0: [18:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.06859 u1: ... st: NotStopd t0: [18:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 82.4024 u1: g * m st: NotStopd t0: [18:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 29.6029 u1: g*m/m2 st: NotStopd t0: [18:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [18:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [18:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [18:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 26.3538 u1: ... st: NotStopd t0: [18:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 72.8155 u1: ml st: NotStopd t0: [18:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [18:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [18:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [18:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.5 u1: L/min st: NotStopd
t0: [18:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [18:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [18:00:00 13/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [18:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 3.5 vu: ml t0: [18:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [18:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [18:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [18:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [18:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [18:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [18:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3.5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [19:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.56318 u1: ... st: NotStopd t0: [19:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [19:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.82136 u1: kg x m st: NotStopd t0: [19:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.81588 u1: ... st: NotStopd t0: [19:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 72.7056 u1: g * m st: NotStopd t0: [19:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.3538 u1: g*m/m2 st: NotStopd t0: [19:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [19:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [19:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [19:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [19:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.8267 u1: ... st: NotStopd t0: [19:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [19:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 65.7407 u1: ml st: NotStopd t0: [19:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [19:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [19:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [19:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.1 u1: L/min st: NotStopd
t0: [19:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [19:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [19:00:00 13/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [19:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 3.5 vu: ml t0: [19:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [19:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [19:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [19:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [19:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [19:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [19:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [19:00:00 13/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 187 rs: Manual st: NotStopd t0: [19:00:00 13/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 187 rs: Manual st: NotStopd
t0: [20:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [20:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [20:00:00 13/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [20:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [20:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [20:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [20:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [20:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml
t0: [19:30:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:30:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:30:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:30:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [19:30:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [19:30:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [19:30:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [19:30:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:30:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [19:30:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:30:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:30:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml
t0: [19:30:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:30:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:30:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:30:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [19:30:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:30:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 13/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [20:00:00 13/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [20:00:00 13/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [20:00:00 13/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 13/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 13/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 13/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 13/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [20:00:00 13/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 13/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9.9 u1: cmH2O st: NotStopd t0: [20:00:00 13/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13.6 u1: L/min st: NotStopd t0: [20:00:00 13/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 13/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 13/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [20:00:00 13/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:00:00 13/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 528 u1: ml/B st: NotStopd t0: [20:00:00 13/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 13/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [20:00:00 13/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 65 u1: cmH2O st: NotStopd
t0: [20:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.67148 u1: ... st: NotStopd t0: [20:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 13/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [20:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.0512 u1: kg x m st: NotStopd t0: [20:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.92419 u1: ... st: NotStopd t0: [20:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 84.864 u1: g * m st: NotStopd t0: [20:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.6859 u1: g*m/m2 st: NotStopd t0: [20:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [20:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [20:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [20:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.1588 u1: ... st: NotStopd t0: [20:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 77.8947 u1: ml st: NotStopd t0: [20:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [20:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 13/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 136 rs: Manual st: NotStopd t0: [20:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.4 u1: L/min st: NotStopd t0: [20:15:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:15:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:15:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:15:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [20:15:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [20:15:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [20:15:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [20:15:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:15:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [20:15:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [20:15:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [20:15:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [20:15:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [20:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [20:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip t0: [20:15:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:15:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:15:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:15:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [20:15:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:15:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [20:25:00 13/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.2 rs: Final st: NotStopd t0: [20:25:00 13/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.2 rs: Final st: NotStopd
t0: [21:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 13/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [21:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [21:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [21:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [21:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [21:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6.75 vu: ml t0: [21:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [21:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [21:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [21:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml
t0: [21:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [21:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [21:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 500 vu: ml
t0: [20:00:00 13/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 13/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 13/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 13/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 13/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 13/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 13/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate v2: H2 Blocker st: NotStopd t0: [20:00:00 13/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 13/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 13/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 13/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 13/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 13/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [20:00:00 13/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 13/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 13/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 13/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 13/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 13/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 13/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 13/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 13/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 13/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 13/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 13/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 13/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 13/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [20:00:00 13/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 13/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 13/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 13/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/11/2016] id: PresSoreStage/Heal#1 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [20:00:00 13/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [20:00:00 13/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [20:00:00 13/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [20:00:00 13/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [20:00:00 13/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [20:00:00 13/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 13/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 13/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 13/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [20:00:00 13/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 13/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 13/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 13/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 13/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 13/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 13/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 13/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 13/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Left Arm st: NotStopd t0: [20:00:00 13/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 13/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 13/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 13/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 13/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 13/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 13/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 13/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 13/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 13/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 13/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [21:00:00 13/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [21:00:00 13/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [21:00:00 13/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [21:00:00 13/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [21:00:00 13/11/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 13/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28/ st: NotStopd t0: [21:00:00 13/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [21:00:00 13/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [21:00:00 13/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bed as Chair st: NotStopd t0: [21:00:00 13/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 13/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [21:00:00 13/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [21:00:00 13/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [21:00:00 13/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [22:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.85199 u1: ... st: NotStopd t0: [22:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 13/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [22:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.27288 u1: kg x m st: NotStopd t0: [22:00:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.99639 u1: ... st: NotStopd t0: [22:00:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 83.776 u1: g * m st: NotStopd t0: [22:00:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.3249 u1: g*m/m2 st: NotStopd t0: [22:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [22:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [22:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.8809 u1: ... st: NotStopd t0: [22:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 79.798 u1: ml st: NotStopd t0: [22:00:00 13/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [22:00:00 13/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [22:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 13/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 126 rs: Manual st: NotStopd t0: [22:00:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.9 u1: L/min st: NotStopd
t0: [22:00:00 13/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [22:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [22:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 13/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [22:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [22:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [22:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [22:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml
t0: [22:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [22:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [21:44:00 13/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 4.4 rs: Final st: NotStopd t0: [21:44:00 13/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.4 rs: Final st: NotStopd
t0: [21:00:00 13/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml nb: 1 t0: [22:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 7 vu: ml nb: 1 t0: [22:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml nb: 1
t0: [22:00:00 13/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [22:00:00 13/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [22:00:00 13/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [22:00:00 13/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [22:00:00 13/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [22:00:00 13/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [22:00:00 13/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [22:00:00 13/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [22:00:00 13/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [22:00:00 13/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10.8 u1: cmH2O st: NotStopd t0: [22:00:00 13/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 14.3 u1: L/min st: NotStopd t0: [22:00:00 13/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [22:00:00 13/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [22:00:00 13/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [22:00:00 13/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [22:00:00 13/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 498 u1: ml/B st: NotStopd t0: [22:00:00 13/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [22:00:00 13/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [22:00:00 13/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 65 u1: cmH2O st: NotStopd
tf: [08:00:00 14/11/2016] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 23 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [22:07:00 13/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [22:07:00 13/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [22:07:00 13/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 45.2 rs: Final st: NotStopd t0: [22:07:00 13/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [22:07:00 13/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [22:07:00 13/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 45.2 rs: Final st: NotStopd
t0: [22:00:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [23:00:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 13/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 13/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [23:00:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [23:00:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [23:00:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [23:00:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 40 u1: BPM st: NotStopd t0: [23:00:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 13/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 131 rs: Manual st: NotStopd t0: [23:30:00 13/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:30:00 13/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.77978 u1: ... st: NotStopd t0: [23:30:00 13/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 13/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [23:30:00 13/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:30:00 13/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:30:00 13/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:30:00 13/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:30:00 13/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [23:30:00 13/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:30:00 13/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.79648 u1: kg x m st: NotStopd t0: [23:30:00 13/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.1769 u1: ... st: NotStopd t0: [23:30:00 13/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 99.3888 u1: g * m st: NotStopd t0: [23:30:00 13/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35.7401 u1: g*m/m2 st: NotStopd t0: [23:30:00 13/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [23:30:00 13/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [23:30:00 13/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [23:30:00 13/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [23:30:00 13/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [23:30:00 13/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [23:30:00 13/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [23:30:00 13/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:30:00 13/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:30:00 13/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 31.4079 u1: ... st: NotStopd t0: [23:30:00 13/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [23:30:00 13/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 86.5169 u1: ml st: NotStopd t0: [23:30:00 13/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [23:30:00 13/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:30:00 13/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.7 u1: L/min st: NotStopd
t0: [23:00:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [23:00:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 50 su: ml rt: IV Drip t0: [23:30:00 13/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:30:00 13/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:30:00 13/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:30:00 13/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [23:30:00 13/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:30:00 13/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [00:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [00:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [00:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 13/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [23:00:00 13/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [23:00:00 13/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [23:00:00 13/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 7 vu: ml t0: [23:00:00 13/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [23:00:00 13/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [23:00:00 13/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [23:00:00 13/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [23:00:00 13/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [00:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [00:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 50 su: ml rt: IV Drip
tf: [08:00:00 14/11/2016] pt: Unit Dose rt: PO fr: ONCE fs: 0 dn: 1 m1: Oxazepam v1: 15-30 u1: mg
t0: [23:00:00 13/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 220 cv: 220 ap: none t0: [23:00:00 13/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -47.2794 cv: -47.2794 ap: none t0: [23:00:00 13/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 87.7206 cv: 3752.07 ap: none t0: [23:00:00 13/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 172.721 cv: 5942.07 ap: none t0: [23:00:00 13/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 85 cv: 2040 ap: none t0: [23:00:00 13/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 220 cv: 7900 ap: none t0: [23:00:00 13/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -47.2794 cv: -2027.94 ap: carryForward t0: [23:00:00 13/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 220 cv: 7970 ap: carryForward t0: [23:00:00 13/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -47.2794 cv: 11656.7 ap: carryForward
t0: [22:00:00 13/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 14/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 14/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [00:00:00 14/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd
t0: [00:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [00:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [00:00:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 7.5 vu: ml t0: [00:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [00:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [00:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [00:00:00 14/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [00:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 380 vu: ml
t0: [00:30:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 9 vu: ml t0: [00:30:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [00:30:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [00:30:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml t0: [00:30:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [00:30:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [00:30:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 3.40781 vu: ml t0: [00:30:00 14/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 42.5 vu: ml t0: [00:30:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [00:30:00 14/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 117 rs: Manual st: NotStopd
t0: [01:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 14/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.34657 u1: ... st: NotStopd t0: [01:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [01:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 14/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.2764 u1: kg x m st: NotStopd t0: [01:00:00 14/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.27437 u1: ... st: NotStopd t0: [01:00:00 14/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 65.6608 u1: g * m st: NotStopd t0: [01:00:00 14/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.8267 u1: g*m/m2 st: NotStopd t0: [01:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [01:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [01:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [01:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 14/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.5487 u1: ... st: NotStopd t0: [01:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 14/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 67.7083 u1: ml st: NotStopd t0: [01:00:00 14/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [01:00:00 14/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 14/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [01:00:00 14/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [01:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 14/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.5 u1: L/min st: NotStopd
t0: [01:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [01:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [01:00:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml t0: [01:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [01:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [01:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 3.40781 vu: ml t0: [01:00:00 14/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 42.5 vu: ml t0: [01:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [01:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [01:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 13/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [23:00:00 13/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 13/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [23:00:00 13/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Disease Process st: NotStopd t0: [23:00:00 13/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [23:00:00 13/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [23:00:00 13/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 13/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [23:00:00 13/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [23:00:00 13/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [23:00:00 13/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 13/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 13/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 13/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 13/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [23:00:00 13/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 13/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [01:00:00 14/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [01:00:00 14/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [01:00:00 14/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [01:00:00 14/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [01:00:00 14/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 14/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [01:00:00 14/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [01:00:00 14/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: H2 Blocker st: NotStopd t0: [01:00:00 14/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [01:00:00 14/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [01:00:00 14/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [01:00:00 14/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [01:00:00 14/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 14/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 14/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [01:00:00 14/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [01:00:00 14/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [01:00:00 14/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [01:00:00 14/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [01:00:00 14/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [01:00:00 14/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [01:00:00 14/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [01:00:00 14/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [01:00:00 14/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [01:00:00 14/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [01:00:00 14/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 14/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [01:00:00 14/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [01:00:00 14/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [01:00:00 14/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [01:00:00 14/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [01:00:00 14/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [01:00:00 14/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [01:00:00 14/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [01:00:00 14/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [01:00:00 14/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 14/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [01:00:00 14/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Left Arm st: NotStopd t0: [01:00:00 14/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [01:00:00 14/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [01:00:00 14/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 14/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [01:00:00 14/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [01:00:00 14/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [01:00:00 14/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 14/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [01:00:00 14/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd
t0: [01:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 9 vu: ml nb: 1
t0: [02:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 14/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.59928 u1: ... st: NotStopd t0: [02:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [02:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 14/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [02:00:00 14/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [02:00:00 14/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [02:00:00 14/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28/ st: NotStopd t0: [02:00:00 14/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.75648 u1: kg x m st: NotStopd t0: [02:00:00 14/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.45487 u1: ... st: NotStopd t0: [02:00:00 14/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 70.38 u1: g * m st: NotStopd t0: [02:00:00 14/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.2708 u1: g*m/m2 st: NotStopd t0: [02:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [02:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [02:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 14/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.0758 u1: ... st: NotStopd t0: [02:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 14/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 75 u1: ml st: NotStopd t0: [02:00:00 14/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [02:00:00 14/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 14/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [02:00:00 14/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [02:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 14/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.2 u1: L/min st: NotStopd
t0: [02:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [02:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [02:00:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 8 vu: ml t0: [02:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [02:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [02:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [02:00:00 14/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [02:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [02:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [02:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 14/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 136 rs: Manual st: NotStopd
t0: [02:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 9 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [03:00:00 14/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 14/11/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 14/11/2016] id: % Inspir. Time el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 14/11/2016] id: I:E Ratio el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 14/11/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 14/11/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 14/11/2016] id: Pause Time % el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 14/11/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 14/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 14/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 14/11/2016] id: Plateau-Off el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 14/11/2016] id: Auto-PEEP Level el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 14/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 14/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 14/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 14/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 14/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [00:00:00 14/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 14/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [00:00:00 14/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [00:00:00 14/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 14/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 14/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 14/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 14/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [00:00:00 14/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 14/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.6 u1: cmH2O st: NotStopd t0: [00:00:00 14/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.6 u1: L/min st: NotStopd t0: [00:00:00 14/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 14/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:00:00 14/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:00:00 14/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 14/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 502 u1: ml/B st: NotStopd t0: [00:00:00 14/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 14/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [00:00:00 14/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 65 u1: cmH2O st: NotStopd t0: [03:00:00 14/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [03:00:00 14/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [03:00:00 14/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [03:00:00 14/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [03:00:00 14/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [03:00:00 14/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [03:00:00 14/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [03:00:00 14/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [03:00:00 14/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [03:00:00 14/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9.1 u1: cmH2O st: NotStopd t0: [03:00:00 14/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.8 u1: L/min st: NotStopd t0: [03:00:00 14/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [03:00:00 14/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [03:00:00 14/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [03:00:00 14/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [03:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [03:00:00 14/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 464 u1: ml/B st: NotStopd t0: [03:00:00 14/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [03:00:00 14/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [03:00:00 14/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 65 u1: cmH2O st: NotStopd
t0: [03:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [03:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [03:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [03:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 189 u1: mmHg st: NotStopd t0: [03:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [03:00:00 14/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 14/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [03:00:00 14/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [03:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [03:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [03:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [03:00:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 9 vu: ml t0: [03:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [03:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [03:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [03:00:00 14/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [03:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [03:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 9 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [03:11:00 14/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 13.3 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 13.3 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 32.2 u1: % rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 268 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.62 u1: /mic l rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 13.3 rs: Final st: NotStopd
t0: [03:36:00 14/11/2016] id: Mixed Venous O2 Blood Gases el: 0 cu: CSRU cg: 3161 v1: 40 rs: Final st: NotStopd t0: [03:36:00 14/11/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 71 rs: Final st: NotStopd
t0: [03:36:00 14/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: 3161 v1: 3.57401 u1: ... st: NotStopd t0: [03:36:00 14/11/2016] id: C.O. (fick) el: 0 cu: CSRU cg: 3161 v1: 9.93829 u1: L/min st: NotStopd t0: [03:38:00 14/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [03:38:00 14/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.4227 u1: ml/dl st: NotStopd t0: [03:38:00 14/11/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 464.1 u1: ml/m/m st: NotStopd t0: [03:38:00 14/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [03:38:00 14/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 36 rs: Final st: NotStopd t0: [03:38:00 14/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 58 u1: mmHg rs: Final st: NotStopd t0: [03:38:00 14/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 137 u1: mmHg rs: Final st: NotStopd t0: [03:38:00 14/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [03:38:00 14/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.15 rs: Final st: NotStopd t0: [03:38:00 14/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [03:45:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:45:00 14/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.57401 u1: ... st: NotStopd t0: [03:45:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:45:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:45:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [03:45:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [03:45:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [03:45:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [03:45:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:45:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:45:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:45:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:45:00 14/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 137 rs: Manual st: NotStopd
t0: [03:45:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 13.5 vu: ml t0: [03:45:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 7.5 vu: ml t0: [03:45:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 18.75 vu: ml t0: [03:45:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6.75 vu: ml t0: [03:45:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 8.17875 vu: ml t0: [03:45:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 7.5 vu: ml t0: [03:45:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.11172 vu: ml t0: [03:45:00 14/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 63.75 vu: ml t0: [03:45:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [03:45:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:45:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:45:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:45:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:45:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:45:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [03:38:00 14/11/2016] id: DO2 el: 0 cu: CSRU cg: RN v1: 1066 u1: ml/min st: NotStopd t0: [03:38:00 14/11/2016] id: zzO2AV el: 0 cu: CSRU cg: RN v1: 1066 u1: ml/min st: NotStopd t0: [03:38:00 14/11/2016] id: zzO2AVI el: 0 cu: CSRU cg: RN v1: 384.838 u1: ml/m/m st: NotStopd t0: [03:38:00 14/11/2016] id: O2AV el: 0 cu: CSRU cg: RN v1: 1066 u1: ml/min st: NotStopd t0: [03:38:00 14/11/2016] id: O2AVI el: 0 cu: CSRU cg: RN v1: 384.838 u1: ml/m/m st: NotStopd t0: [04:00:00 14/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.96029 u1: ... st: NotStopd t0: [04:00:00 14/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 73 u1: % st: NotStopd t0: [04:00:00 14/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 14/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 14/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 14/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.2 u1: L/min st: NotStopd
t0: [04:00:00 14/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [04:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 4.5 vu: ml t0: [04:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 2.5 vu: ml t0: [04:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 6.25 vu: ml t0: [04:00:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2.5 vu: ml t0: [04:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml t0: [04:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 2.5 vu: ml t0: [04:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 1.70391 vu: ml t0: [04:00:00 14/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 21.25 vu: ml
t0: [03:11:00 14/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 35 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [03:11:00 14/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 46.8 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 46.8 rs: Final st: NotStopd
t0: [03:11:00 14/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 4.1 rs: Final st: NotStopd t0: [03:11:00 14/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.1 rs: Final st: NotStopd
t0: [04:15:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 4.5 vu: ml t0: [04:15:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 2.5 vu: ml t0: [04:15:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 6.25 vu: ml t0: [04:15:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2.5 vu: ml t0: [04:15:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml t0: [04:15:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 2.5 vu: ml t0: [04:15:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 1.70391 vu: ml t0: [04:15:00 14/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 21.25 vu: ml
t0: [04:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [04:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 14/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.14464 u1: kg x m st: NotStopd t0: [04:00:00 14/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.2852 u1: ... st: NotStopd t0: [04:00:00 14/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 94.792 u1: g * m st: NotStopd t0: [04:00:00 14/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 34.296 u1: g*m/m2 st: NotStopd t0: [04:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [04:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [04:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [04:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 14/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30.6859 u1: ... st: NotStopd t0: [04:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 14/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 84.5361 u1: ml st: NotStopd t0: [04:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [05:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [05:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [05:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [05:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 14/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 14/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [05:00:00 14/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [05:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 13.5 vu: ml t0: [05:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 7.5 vu: ml t0: [05:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 18.75 vu: ml t0: [05:00:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 7.5 vu: ml t0: [05:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 8.17875 vu: ml t0: [05:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 7.5 vu: ml t0: [05:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.11172 vu: ml t0: [05:00:00 14/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 63.75 vu: ml t0: [05:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [04:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [04:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip t0: [05:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [05:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [06:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 14/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.74368 u1: ... st: NotStopd t0: [06:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 14/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [06:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 14/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.2688 u1: kg x m st: NotStopd t0: [06:00:00 14/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.99639 u1: ... st: NotStopd t0: [06:00:00 14/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 92.48 u1: g * m st: NotStopd t0: [06:00:00 14/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.213 u1: g*m/m2 st: NotStopd t0: [06:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [06:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [06:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [06:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 14/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [06:00:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [06:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [06:00:00 14/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30.6859 u1: ... st: NotStopd t0: [06:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 14/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 85.3933 u1: ml st: NotStopd t0: [06:00:00 14/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [06:00:00 14/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 14/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [06:00:00 14/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [06:00:00 14/11/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.90033 u1: m2 st: NotStopd t0: [06:00:00 14/11/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 2.19822 u1: m2 st: NotStopd t0: [06:00:00 14/11/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [06:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 14/11/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [06:00:00 14/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.6 u1: L/min st: NotStopd
t0: [06:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [06:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [06:00:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [06:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [06:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [06:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [06:00:00 14/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [06:00:00 14/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 175 vu: ml t0: [06:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [06:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [06:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 14/11/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 175 ap: none
t0: [02:30:00 14/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 22cm v2: Lip st: NotStopd t0: [02:30:00 14/11/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 7.5 mm st: NotStopd t0: [02:30:00 14/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [02:30:00 14/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [02:30:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [02:30:00 14/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [02:30:00 14/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [02:30:00 14/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [05:30:00 14/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:30:00 14/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [05:30:00 14/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [05:30:00 14/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [05:30:00 14/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:30:00 14/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [05:30:00 14/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [05:30:00 14/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:30:00 14/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [05:30:00 14/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [05:30:00 14/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 14/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [06:00:00 14/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 14/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 101 rs: Manual st: NotStopd
tf: [08:00:00 14/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 6 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [06:00:00 14/11/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 100 u1: units st: NotStopd t0: [06:00:00 14/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [06:00:00 14/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [06:00:00 14/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [06:00:00 14/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [06:00:00 14/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [06:00:00 14/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [06:00:00 14/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [06:00:00 14/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [06:00:00 14/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [06:00:00 14/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.8 u1: cmH2O st: NotStopd t0: [06:00:00 14/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13.6 u1: L/min st: NotStopd t0: [06:00:00 14/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [06:00:00 14/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [06:00:00 14/11/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 100 u1: units st: NotStopd t0: [06:00:00 14/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [06:00:00 14/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [06:00:00 14/11/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [06:00:00 14/11/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.32 u1: L st: NotStopd t0: [06:00:00 14/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 449 u1: ml/B st: NotStopd t0: [06:00:00 14/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [06:00:00 14/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [06:00:00 14/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 65 u1: cmH2O st: NotStopd
t0: [07:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [07:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [07:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [07:00:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [07:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [07:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [07:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [07:00:00 14/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [07:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [08:00:00 14/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 14/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 14/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 14/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 14/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [08:00:00 14/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.88809 u1: ... st: NotStopd t0: [08:00:00 14/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 14/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 14/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 14/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 14/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Disease Process st: NotStopd t0: [08:00:00 14/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 14/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 14/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 14/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 14/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 14/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [08:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [08:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 14/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [08:00:00 14/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 14/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 14/11/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28/ st: NotStopd t0: [08:00:00 14/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 14/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 14/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 14/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 14/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [08:00:00 14/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 14/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 14/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 14/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 14/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 14/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 14/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.4656 u1: kg x m st: NotStopd t0: [08:00:00 14/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.4296 u1: ... st: NotStopd t0: [08:00:00 14/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 14/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 14/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 14/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 92.2896 u1: g * m st: NotStopd t0: [08:00:00 14/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.213 u1: g*m/m2 st: NotStopd t0: [08:00:00 14/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 14/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 14/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 14/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [08:00:00 14/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [08:00:00 14/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [08:00:00 14/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [08:00:00 14/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 14/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [08:00:00 14/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 14/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [08:00:00 14/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [08:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [08:00:00 14/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 14/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 14/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 14/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 14/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 14/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 14/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [08:00:00 14/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 14/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 14/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 14/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 14/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 14/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [08:00:00 14/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 14/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Left Arm st: NotStopd t0: [08:00:00 14/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 14/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 14/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.1588 u1: ... st: NotStopd t0: [08:00:00 14/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 640 u1: ... st: NotStopd t0: [08:00:00 14/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1771.63 u1: ... st: NotStopd t0: [08:00:00 14/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 14/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 14/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 14/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 14/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 14/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 77.6699 u1: ml st: NotStopd t0: [08:00:00 14/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 14/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [08:00:00 14/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 14/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [08:00:00 14/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [08:00:00 14/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [08:00:00 14/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 14/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 14/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 14/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [08:00:00 14/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 70 rs: Manual st: NotStopd t0: [08:00:00 14/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 14/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 14/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [08:00:00 14/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 14/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [08:00:00 14/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 14/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 14/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 14/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8 u1: L/min st: NotStopd t0: [08:00:00 14/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [08:00:00 14/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [08:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [08:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [08:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [08:00:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [08:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [08:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [08:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [08:00:00 14/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [08:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [08:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [08:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 14/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 14/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [08:00:00 14/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [08:00:00 14/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 14/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 14/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 14/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 14/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [08:00:00 14/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [08:00:00 14/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.4 u1: cmH2O st: NotStopd t0: [08:00:00 14/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [08:00:00 14/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 14/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 14/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [08:00:00 14/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 14/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [08:00:00 14/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 14/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [08:00:00 14/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 65 u1: cmH2O st: NotStopd
t0: [09:00:00 14/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [09:00:00 14/11/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 14/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.85199 u1: ... st: NotStopd t0: [09:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [09:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 14/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.34728 u1: kg x m st: NotStopd t0: [09:00:00 14/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.3574 u1: ... st: NotStopd t0: [09:00:00 14/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 93.4728 u1: g * m st: NotStopd t0: [09:00:00 14/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.574 u1: g*m/m2 st: NotStopd t0: [09:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [09:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [09:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [09:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [09:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [09:00:00 14/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.5199 u1: ... st: NotStopd t0: [09:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 14/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 79 u1: ml st: NotStopd t0: [09:00:00 14/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [09:00:00 14/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 14/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [09:00:00 14/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [09:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 14/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 108 rs: Manual st: NotStopd t0: [09:00:00 14/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.9 u1: L/min st: NotStopd
t0: [09:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [09:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [09:00:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [09:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [09:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [09:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [09:00:00 14/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [09:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [09:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [09:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [10:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [10:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [10:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 14/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [10:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [10:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [10:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [10:00:00 14/11/2016] tf: [16:00:00 16/11/2016] dt: 3240 id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [10:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [10:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [10:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [10:00:00 14/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [10:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [10:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [10:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
tf: [07:00:00 15/11/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 12.5 u1: mg
t0: [10:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 141 u1: BPM st: NotStopd t0: [11:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 14/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.20217 u1: ... st: NotStopd t0: [11:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 120 u1: BPM st: NotStopd t0: [11:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 14/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.55384 u1: kg x m st: NotStopd t0: [11:00:00 14/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.38267 u1: ... st: NotStopd t0: [11:00:00 14/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 54.7944 u1: g * m st: NotStopd t0: [11:00:00 14/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 19.8556 u1: g*m/m2 st: NotStopd t0: [11:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [11:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [11:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [11:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [11:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [11:00:00 14/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 18.4116 u1: ... st: NotStopd t0: [11:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 14/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [11:00:00 14/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 14/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 50.8333 u1: ml st: NotStopd t0: [11:00:00 14/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [11:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 14/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 145 rs: Manual st: NotStopd t0: [11:00:00 14/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [11:00:00 14/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vu: ml t0: [11:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [11:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [11:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 50 su: ml rt: IV Drip
tf: [10:00:00 15/11/2016] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 11 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [11:00:00 14/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 14/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 14/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [11:00:00 14/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 14/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [11:00:00 14/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [11:00:00 14/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [11:00:00 14/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd
t0: [11:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [11:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [11:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [11:00:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [11:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [11:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [11:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [11:00:00 14/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml st: Stopped
t0: [23:00:00 14/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 90 ap: none t0: [23:00:00 14/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN cv: 1020 ap: none
tf: [12:00:00 17/11/2016] pt: IV Piggyback rt: IV fr: INFUSION m1: Amiodarone HCl v1: 600 u1: mg m2: D5W (EXCEL BAG) v2: 250 u2: ml
t0: [12:00:00 14/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [12:00:00 14/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [12:00:00 14/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [12:00:00 14/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 14/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 14/11/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 14/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 14/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 22 st: NotStopd t0: [12:00:00 14/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [12:00:00 14/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.2 u1: cmH2O st: NotStopd t0: [12:00:00 14/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [12:00:00 14/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 14/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:00:00 14/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [12:00:00 14/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [12:00:00 14/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [12:00:00 14/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 14/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [12:00:00 14/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 65 u1: cmH2O st: NotStopd
t0: [12:00:00 14/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 14/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 14/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 14/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 14/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [12:00:00 14/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.20217 u1: ... st: NotStopd t0: [12:00:00 14/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 14/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 14/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 14/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Disease Process st: NotStopd t0: [12:00:00 14/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 14/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 14/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 14/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 14/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 120 u1: BPM st: NotStopd t0: [12:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 14/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [12:00:00 14/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 14/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 14/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 14/11/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 14/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28/ st: NotStopd t0: [12:00:00 14/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [12:00:00 14/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 14/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 14/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 14/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 14/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 14/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 14/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 14/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 14/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.13904 u1: kg x m st: NotStopd t0: [12:00:00 14/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.20217 u1: ... st: NotStopd t0: [12:00:00 14/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 14/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 14/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 14/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 51.3264 u1: g * m st: NotStopd t0: [12:00:00 14/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 18.4116 u1: g*m/m2 st: NotStopd t0: [12:00:00 14/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 14/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 14/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 14/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [12:00:00 14/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [12:00:00 14/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 14/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [12:00:00 14/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 14/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [12:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 14/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 14/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 14/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 14/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 14/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [12:00:00 14/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 14/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 14/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 14/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 14/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 14/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 14/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 14/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 14/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 18.4116 u1: ... st: NotStopd t0: [12:00:00 14/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 681.967 u1: ... st: NotStopd t0: [12:00:00 14/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1890.91 u1: ... st: NotStopd t0: [12:00:00 14/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 14/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 14/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 14/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 50.8333 u1: ml st: NotStopd t0: [12:00:00 14/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 14/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [12:00:00 14/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 14/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 3 u1: Deg. C st: NotStopd t0: [12:00:00 14/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. F st: NotStopd t0: [12:00:00 14/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 14/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 14/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 14/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [12:00:00 14/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 154 rs: Manual st: NotStopd t0: [12:00:00 14/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 14/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.1 u1: L/min st: NotStopd t0: [12:00:00 14/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [12:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [12:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [12:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [12:00:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml t0: [12:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [12:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [12:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [12:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [12:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [12:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [11:57:00 14/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [11:57:00 14/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd
t0: [13:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 14/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.16606 u1: ... st: NotStopd t0: [13:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 14/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 14/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [13:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 130 u1: BPM st: NotStopd t0: [13:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 14/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.8752 u1: kg x m st: NotStopd t0: [13:00:00 14/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.12996 u1: ... st: NotStopd t0: [13:00:00 14/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 45.0432 u1: g * m st: NotStopd t0: [13:00:00 14/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 16.2455 u1: g*m/m2 st: NotStopd t0: [13:00:00 14/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [13:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [13:00:00 14/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [13:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [13:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 14/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 16.6065 u1: ... st: NotStopd t0: [13:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 14/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 46.1538 u1: ml st: NotStopd t0: [13:00:00 14/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [13:00:00 14/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [13:00:00 14/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [13:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 14/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [13:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [13:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [13:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [13:00:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 8 vu: ml t0: [13:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [13:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [13:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [13:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [13:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [13:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [13:00:00 14/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
t0: [14:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 14/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.23827 u1: ... st: NotStopd t0: [14:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 14/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 22cm v2: Lip st: NotStopd t0: [14:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [14:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 14/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 14/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [14:00:00 14/11/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 7.5 mm st: NotStopd t0: [14:00:00 14/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [14:00:00 14/11/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [14:00:00 14/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.66128 u1: kg x m st: NotStopd t0: [14:00:00 14/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.41877 u1: ... st: NotStopd t0: [14:00:00 14/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 70.9104 u1: g * m st: NotStopd t0: [14:00:00 14/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.6318 u1: g*m/m2 st: NotStopd t0: [14:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [14:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [14:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [14:00:00 14/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [14:00:00 14/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [14:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [14:00:00 14/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.8267 u1: ... st: NotStopd t0: [14:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [14:00:00 14/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [14:00:00 14/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 14/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 65.9574 u1: ml st: NotStopd t0: [14:00:00 14/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [14:00:00 14/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [14:00:00 14/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 14/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [14:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 14/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [14:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [14:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [14:00:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 8 vu: ml t0: [14:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [14:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [14:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [14:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [14:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [14:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 14/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [14:00:00 14/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [14:00:00 14/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [14:00:00 14/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 114 rs: Manual st: NotStopd
t0: [14:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 14/11/2016] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 14/11/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 14/11/2016] id: ETT Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 14/11/2016] id: Extubation Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 14/11/2016] id: Airway Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 14/11/2016] id: Intubation Date el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [16:00:00 14/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 20.6897 u1: ml/cmH st: NotStopd t0: [16:00:00 14/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 90 u1: decFrc st: NotStopd t0: [16:00:00 14/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd t0: [16:00:00 14/11/2016] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [16:00:00 14/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 14/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 14/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [16:00:00 14/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:00:00 14/11/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [16:00:00 14/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [16:00:00 14/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 14/11/2016] id: Pause Time % el: 0 cu: CSRU cg: RRT v1: 0% st: NotStopd t0: [16:00:00 14/11/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: RRT v1: 36.3636 u1: lpm st: NotStopd t0: [16:00:00 14/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [16:00:00 14/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [16:00:00 14/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 14/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 14/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 14/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 14/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 14/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [16:00:00 14/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 14/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:00:00 14/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:00:00 14/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [16:00:00 14/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [16:00:00 14/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd t0: [16:00:00 14/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 65 u1: cmH2O st: NotStopd
t0: [16:00:00 14/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [16:00:00 14/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [16:00:00 14/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 14/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 14/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 14/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd
t0: [16:25:00 14/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 34 u1: % rs: Final st: NotStopd
t0: [15:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 14/11/2016] id: Significant Events el: 0 cu: CSRU cg: RN v1: OR Sent st: NotStopd t0: [16:30:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:30:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 14/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:30:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:30:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:30:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:30:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [16:30:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [16:30:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [16:30:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [16:30:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:30:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [16:30:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:30:00 14/11/2016] id: Significant Events el: 0 cu: CSRU cg: RN v1: OR Received st: NotStopd t0: [16:30:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [16:30:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:45:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:45:00 14/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [16:45:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:45:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:45:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:45:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:45:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [16:45:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:45:00 14/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [16:45:00 14/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 90.3333 u1: mmHg st: NotStopd t0: [16:45:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [16:45:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [16:45:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [16:45:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:45:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [16:45:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:45:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [16:45:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 14/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [17:00:00 14/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [17:00:00 14/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [17:00:00 14/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [17:00:00 14/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 14/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 14/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Grimace Scale st: NotStopd t0: [17:00:00 14/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [17:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 14/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [17:00:00 14/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 14/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [17:00:00 14/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [17:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 14/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 14/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [17:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 14/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [17:00:00 14/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [17:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 14/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Altered LOC st: NotStopd t0: [17:00:00 14/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [17:00:00 14/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [17:00:00 14/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [17:00:00 14/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 14/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [17:00:00 14/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [17:00:00 14/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 14/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [17:00:00 14/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 14/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [17:00:00 14/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [17:00:00 14/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [17:00:00 14/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [17:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [17:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 14/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [17:00:00 14/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 14/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [17:00:00 14/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [17:00:00 14/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 14/11/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 14/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28/ st: NotStopd t0: [17:00:00 14/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [17:00:00 14/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [17:00:00 14/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 14/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 14/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 14/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 14/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [17:00:00 14/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [17:00:00 14/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 14/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 14/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [17:00:00 14/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [17:00:00 14/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [17:00:00 14/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [17:00:00 14/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 14/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 14/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [17:00:00 14/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 14/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [17:00:00 14/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [17:00:00 14/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [17:00:00 14/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [17:00:00 14/11/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [17:00:00 14/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 14/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 14/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [17:00:00 14/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [17:00:00 14/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [17:00:00 14/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [17:00:00 14/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [17:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [17:00:00 14/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [17:00:00 14/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [17:00:00 14/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [17:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [17:00:00 14/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 14/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 14/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 14/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 14/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Red, Unbroken v2: No st: NotStopd t0: [17:00:00 14/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Yes st: NotStopd t0: [17:00:00 14/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [17:00:00 14/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [17:00:00 14/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [17:00:00 14/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [17:00:00 14/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [17:00:00 14/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [17:00:00 14/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [17:00:00 14/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [17:00:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [17:00:00 14/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [17:00:00 14/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [17:00:00 14/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 14/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 14/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 14/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 14/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 14/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 14/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [17:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:00:00 14/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [17:00:00 14/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Left Arm st: NotStopd t0: [17:00:00 14/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [17:00:00 14/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [17:00:00 14/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 14/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [17:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 14/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [17:00:00 14/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [17:00:00 14/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 14/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [17:00:00 14/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 14/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [17:00:00 14/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [17:00:00 14/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [17:00:00 14/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 14/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [17:00:00 14/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 14/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [17:00:00 14/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 14/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 14/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [17:00:00 14/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [17:00:00 14/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [17:00:00 14/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [17:00:00 14/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 14/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [17:00:00 14/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Very Poor st: NotStopd t0: [17:00:00 14/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [17:00:00 14/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 14/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [16:30:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [17:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [17:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 30 vu: ml t0: [17:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 37.5 vu: ml t0: [17:00:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 15 vu: ml t0: [17:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 32.715 vu: ml t0: [17:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 30 vu: ml t0: [17:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 20.4469 vu: ml t0: [17:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [15:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [15:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip t0: [16:30:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:30:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [16:30:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:30:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip t0: [16:45:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:45:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:45:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:45:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [16:45:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:45:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip t0: [17:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [17:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [16:25:00 14/11/2016] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [16:25:00 14/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 83 rs: Final st: NotStopd t0: [16:25:00 14/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [16:25:00 14/11/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [16:25:00 14/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 83 rs: Final st: NotStopd t0: [16:25:00 14/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd
t0: [16:25:00 14/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd t0: [16:25:00 14/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd t0: [18:00:00 14/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 14/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Grimace Scale st: NotStopd t0: [18:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 14/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [18:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [18:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 14/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [18:00:00 14/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [18:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [18:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [18:00:00 14/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [18:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [18:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [18:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [18:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [18:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [18:00:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [18:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [18:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [18:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [18:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [18:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [18:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 50 su: ml rt: IV Drip
t0: [18:13:00 14/11/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 76 rs: Final st: NotStopd
t0: [18:00:00 14/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [18:00:00 14/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 80 rs: Manual st: NotStopd t0: [18:00:00 14/11/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [18:00:00 14/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 80 rs: Manual st: NotStopd t0: [19:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 14/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [19:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [19:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 14/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 14/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 81.6667 u1: mmHg st: NotStopd t0: [19:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [19:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [19:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [19:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [19:00:00 14/11/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Line Placement st: NotStopd t0: [19:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [19:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [19:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [19:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [19:00:00 14/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [19:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [19:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [19:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [19:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [19:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [19:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 14/11/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 50 su: ml rt: IV Drip st: Stopped
t0: [14:00:00 14/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Medium t0: [17:00:00 14/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Medium
t0: [23:00:00 14/11/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
tf: [19:00:00 15/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 20 dn: 1 m1: Midazolam HCl v1: 4 u1: mg
t0: [16:25:00 14/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [16:25:00 14/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [16:25:00 14/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 27.7 rs: Final st: NotStopd t0: [16:25:00 14/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [16:25:00 14/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [16:25:00 14/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 27.7 rs: Final st: NotStopd
t0: [20:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 14/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [20:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 14/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 14/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [20:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [20:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [20:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [20:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [20:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:20:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:20:00 14/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [20:20:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:20:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:20:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [20:20:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [20:20:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [20:20:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:20:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [20:20:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [20:20:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [20:20:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:20:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [20:20:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:20:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [20:20:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:30:00 14/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd
t0: [19:00:00 14/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [20:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [20:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [20:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [20:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [20:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [20:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [20:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [20:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [20:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:20:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:20:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:20:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:20:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [20:20:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:30:00 14/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 79 rs: Manual st: NotStopd
t0: [20:00:00 14/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [20:00:00 14/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 14/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 14/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28/ st: NotStopd t0: [20:00:00 14/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [20:00:00 14/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [20:00:00 14/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd
t0: [20:30:00 14/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [20:30:00 14/11/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 20.6897 u1: ml/cmH st: NotStopd t0: [20:30:00 14/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [20:30:00 14/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [20:30:00 14/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [20:30:00 14/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:30:00 14/11/2016] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [20:30:00 14/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:30:00 14/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:30:00 14/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [20:30:00 14/11/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:30:00 14/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10.2 u1: cmH2O st: NotStopd t0: [20:30:00 14/11/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [20:30:00 14/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [20:30:00 14/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:30:00 14/11/2016] id: Pause Time % el: 0 cu: CSRU cg: RRT v1: 0% st: NotStopd t0: [20:30:00 14/11/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: RRT v1: 36.3636 u1: lpm st: NotStopd t0: [20:30:00 14/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [20:30:00 14/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [20:30:00 14/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:30:00 14/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:30:00 14/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:30:00 14/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:30:00 14/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:30:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [20:30:00 14/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [20:30:00 14/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:30:00 14/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 592 u1: ml/B st: NotStopd t0: [20:30:00 14/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:30:00 14/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:30:00 14/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [20:30:00 14/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [20:30:00 14/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [20:30:00 14/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:30:00 14/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [20:30:00 14/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd t0: [20:30:00 14/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [20:45:00 14/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [20:45:00 14/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [20:45:00 14/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [20:45:00 14/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [20:45:00 14/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:45:00 14/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [20:45:00 14/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [20:45:00 14/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [20:45:00 14/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:45:00 14/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:45:00 14/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [20:45:00 14/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:45:00 14/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [20:45:00 14/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:45:00 14/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [20:45:00 14/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [20:45:00 14/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [20:45:00 14/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:45:00 14/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [21:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 14/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [21:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [21:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [21:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 14/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [21:00:00 14/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [21:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [21:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [21:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [21:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [21:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [21:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [21:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [21:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [21:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [21:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 210 vu: ml
t0: [21:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [21:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:05:00 14/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [22:05:00 14/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [22:05:00 14/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [22:05:00 14/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [22:05:00 14/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 35 rs: Final st: NotStopd t0: [22:05:00 14/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [22:05:00 14/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 93 u1: mmHg rs: Final st: NotStopd t0: [22:05:00 14/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [22:05:00 14/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [22:05:00 14/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.03 rs: Final st: NotStopd t0: [22:05:00 14/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd
t0: [21:50:00 14/11/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [22:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 14/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [22:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 14/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [22:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [22:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [22:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [22:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [22:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [22:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 14/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [22:00:00 14/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [22:00:00 14/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [22:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:35:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:35:00 14/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [22:35:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:35:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:35:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:35:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 147 u1: BPM st: NotStopd t0: [22:35:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [22:35:00 14/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [22:35:00 14/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 89.6667 u1: mmHg st: NotStopd t0: [22:35:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [22:35:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [22:35:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:35:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:35:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [22:35:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:35:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [22:35:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:40:00 14/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [22:45:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:45:00 14/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [22:45:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:45:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:45:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 136 u1: BPM st: NotStopd t0: [22:45:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [22:45:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg v2: 5 u2: mmHg st: NotStopd t0: [22:45:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 151 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [22:45:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [22:45:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:45:00 14/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [22:45:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [22:45:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [22:45:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [22:45:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 14/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [23:00:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 14/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [23:00:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 14/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [23:00:00 14/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [23:00:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [23:00:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [23:00:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [23:00:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 14/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [23:00:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [23:00:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:00:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 14/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [23:00:00 14/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [23:00:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [22:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [22:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [22:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [22:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [22:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml t0: [23:00:00 14/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [23:00:00 14/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [23:00:00 14/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [23:00:00 14/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [23:00:00 14/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [23:00:00 14/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 6.81563 vu: ml t0: [23:00:00 14/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [22:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [22:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:30:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:35:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:35:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:35:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:35:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [22:35:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:45:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:45:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:45:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:45:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [22:45:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [23:00:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 14/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 200 cv: 200 ap: none t0: [23:00:00 14/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -29.7794 cv: -29.7794 ap: none t0: [23:00:00 14/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 170.221 cv: 2785.54 ap: none t0: [23:00:00 14/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 170.221 cv: 3895.55 ap: none t0: [23:00:00 14/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 200 cv: 6070 ap: none t0: [23:00:00 14/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -29.7794 cv: -2349.46 ap: carryForward t0: [23:00:00 14/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 200 cv: 6245 ap: carryForward t0: [23:00:00 14/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -29.7794 cv: 9307.27 ap: carryForward
t0: [23:30:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:30:00 14/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [23:30:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:30:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 141 u1: BPM st: NotStopd t0: [23:30:00 14/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [23:30:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [23:30:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:30:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [23:30:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:30:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [23:30:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:30:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [23:30:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:30:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:30:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:30:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:30:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [23:30:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:45:00 14/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:45:00 14/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [23:45:00 14/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:45:00 14/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:45:00 14/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [23:45:00 14/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [23:45:00 14/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 85.3333 u1: mmHg st: NotStopd t0: [23:45:00 14/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [23:45:00 14/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [23:45:00 14/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [23:45:00 14/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:45:00 14/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [23:45:00 14/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:45:00 14/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [23:45:00 14/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:45:00 14/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:45:00 14/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:45:00 14/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:45:00 14/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [23:45:00 14/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [23:00:00 15/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 0 dn: 1 m1: Amiodarone HCl v1: 150 u1: mg
t0: [00:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [00:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [00:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [00:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [00:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [00:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [00:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 15/11/2016] tf: [06:00:00 24/11/2016] dt: 13320 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [00:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [00:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [00:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [00:00:00 15/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [00:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml
t0: [00:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 15/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [00:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 15/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [01:00:00 15/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [01:00:00 15/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [01:00:00 15/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 35 u1: decFrc st: NotStopd t0: [01:00:00 15/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 15/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [01:00:00 15/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [01:00:00 15/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [01:00:00 15/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [01:00:00 15/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 15/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [01:00:00 15/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [01:00:00 15/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [01:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [01:00:00 15/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [01:00:00 15/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [01:00:00 15/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [01:00:00 15/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [01:00:00 15/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [01:00:00 15/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [01:00:00 15/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [01:00:00 15/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [20:00:00 14/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 14/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 14/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 14/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 14/11/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 14/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 14/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 14/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 14/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 14/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 14/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [20:00:00 14/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 14/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 14/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 14/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 14/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [20:00:00 14/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 14/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 14/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 14/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 14/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 14/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 14/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 14/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Exp Wheeze st: NotStopd t0: [20:00:00 14/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 14/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Exp Wheeze st: NotStopd t0: [20:00:00 14/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Lethargic st: NotStopd t0: [20:00:00 14/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 14/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 14/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [20:00:00 14/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 14/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [20:00:00 14/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 14/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 14/11/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [20:00:00 14/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 14/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 14/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 14/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 14/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [20:00:00 14/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 14/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [20:00:00 14/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 14/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 14/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 14/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Left Arm st: NotStopd t0: [20:00:00 14/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 14/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 14/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 14/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 14/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 14/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 14/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 14/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 14/11/2016] id: Behavior el: 0 cu: CSRU cg: RN st: NotStopd t0: [20:00:00 14/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 14/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [01:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [01:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [01:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [01:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [01:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [01:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [01:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [01:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [01:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 15/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [01:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 15/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [01:00:00 15/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [02:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [02:00:00 15/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.62455 u1: ... st: NotStopd t0: [02:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 130 u1: BPM st: NotStopd t0: [02:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 15/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.51427 u1: kg x m st: NotStopd t0: [02:00:00 15/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.70758 u1: ... st: NotStopd t0: [02:00:00 15/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 57.8816 u1: g * m st: NotStopd t0: [02:00:00 15/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 20.9386 u1: g*m/m2 st: NotStopd t0: [02:00:00 15/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:00:00 15/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [02:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 43 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [02:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [02:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [02:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [02:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [02:00:00 15/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 20.2166 u1: ... st: NotStopd t0: [02:00:00 15/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 583.219 u1: ... st: NotStopd t0: [02:00:00 15/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1618.32 u1: ... st: NotStopd t0: [02:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 15/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55.9231 u1: ml st: NotStopd t0: [02:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [02:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [02:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 15/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.27 u1: L/min st: NotStopd
t0: [01:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [01:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [01:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [01:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [01:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [01:00:00 15/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [01:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml t0: [02:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [02:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [02:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [02:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [02:00:00 15/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [02:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [02:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 15/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [02:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [06:00:00 15/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 2 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [01:30:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:30:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [01:30:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:30:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:30:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [01:30:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:30:00 15/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:30:00 15/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [01:30:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [01:30:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [01:30:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [01:30:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:30:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [01:30:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:30:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:30:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [01:30:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [01:30:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:30:00 15/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [03:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [03:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 133 u1: BPM st: NotStopd t0: [03:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 15/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [03:00:00 15/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [03:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [03:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [03:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 15/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [03:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [03:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [03:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [03:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [03:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [03:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [03:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [03:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [03:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [03:00:00 15/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [03:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 210 vu: ml
t0: [01:30:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 15/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:30:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [01:30:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 15/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:30:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:30:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [03:30:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:30:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:30:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 131 u1: BPM st: NotStopd t0: [03:30:00 15/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:30:00 15/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [03:30:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [03:30:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [03:30:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:30:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:30:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [03:30:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:30:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [03:30:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [03:30:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [03:30:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:30:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 15/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:30:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:30:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 14/11/2016] tf: [11:00:00 16/11/2016] dt: 2160 id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [00:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [01:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [02:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [03:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml
t0: [00:00:00 15/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 15/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 15/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 15/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Incr Visibility st: NotStopd t0: [00:00:00 15/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [00:00:00 15/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 15/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 15/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 15/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 15/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 15/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 15/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 15/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 15/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 15/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [00:00:00 15/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 15/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 15/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 15/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 15/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 15/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 15/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 15/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 15/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 15/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 15/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 15/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 15/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 15/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [00:00:00 15/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 15/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 15/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 15/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [00:00:00 15/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [00:00:00 15/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [00:00:00 15/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 15/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 15/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [00:00:00 15/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 15/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 15/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 15/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 15/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 15/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 15/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 15/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 15/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 15/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 15/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 15/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 15/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 15/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 15/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 15/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 15/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 15/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 15/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 15/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd t0: [00:00:00 15/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [00:00:00 15/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [00:00:00 15/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 15/11/2016] id: INV Line#1 D/C Date el: 0 cu: CSRU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 15/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [00:00:00 15/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 15/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 15/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 15/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [00:00:00 15/11/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [00:00:00 15/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 15/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 15/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 15/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 15/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 15/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 15/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [03:28:00 15/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [03:28:00 15/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [03:28:00 15/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 36 rs: Final st: NotStopd t0: [03:28:00 15/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [03:28:00 15/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 96 u1: mmHg rs: Final st: NotStopd t0: [03:28:00 15/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [03:28:00 15/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.08 rs: Final st: NotStopd
t0: [03:25:00 15/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 12.8 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 43.6 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 12.8 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31.2 u1: % rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 43.6 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 294 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.49 u1: /mic l rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 12.8 rs: Final st: NotStopd
t0: [04:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [04:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 135 u1: BPM st: NotStopd t0: [04:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 48 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [04:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [04:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [04:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [04:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 35 u1: BPM st: NotStopd t0: [04:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [04:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [04:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [04:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [04:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [04:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [04:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [04:00:00 15/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [04:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [04:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [04:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 15/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [04:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 15/11/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Line Cultured st: NotStopd
t0: [05:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [05:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [05:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 15/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [05:00:00 15/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [05:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 45 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [05:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [05:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [05:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [05:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [05:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [05:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [05:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [05:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [05:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [05:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [05:00:00 15/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [05:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [05:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [05:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 15/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [05:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:25:00 15/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 92 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 5 u1: mEq/L rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 92 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5 u1: mEq/L rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd
t0: [05:00:00 15/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [05:00:00 15/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [05:00:00 15/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [05:00:00 15/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 35 u1: decFrc st: NotStopd t0: [05:00:00 15/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 15/11/2016] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [05:00:00 15/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 15/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:00:00 15/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [05:00:00 15/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [05:00:00 15/11/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [05:00:00 15/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.5 u1: L/min st: NotStopd t0: [05:00:00 15/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 15/11/2016] id: Pause Time % el: 0 cu: CSRU cg: RRT v1: 0% st: NotStopd t0: [05:00:00 15/11/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: RRT v1: 36.3636 u1: lpm st: NotStopd t0: [05:00:00 15/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [05:00:00 15/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [05:00:00 15/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:00:00 15/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:00:00 15/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 15/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [05:00:00 15/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [05:00:00 15/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 340 u1: ml/B st: NotStopd t0: [05:00:00 15/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:00:00 15/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [05:00:00 15/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [05:00:00 15/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [05:00:00 15/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [05:00:00 15/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [05:00:00 15/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd t0: [05:00:00 15/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [05:30:00 15/11/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 65.9091 u1: units st: NotStopd t0: [05:30:00 15/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:30:00 15/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:30:00 15/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:30:00 15/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [05:30:00 15/11/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 65.9091 u1: units st: NotStopd t0: [05:30:00 15/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [05:30:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 94 u1: % st: NotStopd t0: [05:30:00 15/11/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [05:30:00 15/11/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.44 u1: L st: NotStopd t0: [05:30:00 15/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [05:30:00 15/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:30:00 15/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [06:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [06:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [06:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [06:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [06:00:00 15/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [06:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [06:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [00:00:00 15/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Medium t0: [04:00:00 15/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Large
t0: [03:25:00 15/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 164 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.2 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 164 rs: Final st: NotStopd t0: [03:25:00 15/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.2 rs: Final st: NotStopd
t0: [06:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [06:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 126 u1: BPM st: NotStopd t0: [06:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 15/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [06:00:00 15/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 48 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [06:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [06:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [06:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [06:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [06:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [06:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [06:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 15/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [06:00:00 15/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
t0: [06:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 15/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [06:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [07:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [07:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [07:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [07:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [07:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [07:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [07:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [07:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [07:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [07:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [07:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [07:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [07:00:00 15/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [07:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [07:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [07:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 15/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [07:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 15/11/2016] id: INV Line#1 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 15/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 15/11/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 15/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 15/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 15/11/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [09:00:00 15/11/2016] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 7 dn: 1 m1: Metoprolol v1: 5 u1: mg tf: [06:00:00 16/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 7 dn: 1 m1: Amiodarone HCl v1: 150 u1: mg
t0: [07:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [07:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd
t0: [06:00:00 15/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 5 vu: ml
t0: [04:00:00 15/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 15/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 15/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [04:00:00 15/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 15/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 15/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 15/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 15/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 15/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 15/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 15/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [04:00:00 15/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 15/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 15/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 15/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 15/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 15/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 15/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 15/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 15/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [04:00:00 15/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [04:00:00 15/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 15/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 15/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 15/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 15/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 15/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 15/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 15/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 15/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 15/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 15/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 15/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 15/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 15/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 15/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd
t0: [03:00:00 15/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 15/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Incr Visibility st: NotStopd t0: [04:00:00 15/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 15/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 15/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 15/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 15/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 15/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 15/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 15/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [04:00:00 15/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [04:00:00 15/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [04:00:00 15/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serous v2: Small st: NotStopd t0: [04:00:00 15/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [04:00:00 15/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 15/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 15/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 15/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [04:00:00 15/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 15/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 15/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 15/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 15/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 15/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 15/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 15/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd t0: [06:00:00 15/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd
t0: [02:00:00 15/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 15/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 15/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 15/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd
t0: [04:00:00 15/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 15/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [04:00:00 15/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd
tf: [09:00:00 15/11/2016] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 8 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [08:00:00 15/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 15/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 15/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [08:00:00 15/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.6426 u1: ... st: NotStopd t0: [08:00:00 15/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 15/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 15/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 15/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 15/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 15/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 15/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 15/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 15/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 15/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 15/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [08:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 15/11/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/11/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 15/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 15/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 15/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 15/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [08:00:00 15/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 15/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 15/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 15/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 15/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 15/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.51724 u1: kg x m st: NotStopd t0: [08:00:00 15/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.62455 u1: ... st: NotStopd t0: [08:00:00 15/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 15/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 15/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 50.6328 u1: g * m st: NotStopd t0: [08:00:00 15/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 18.4116 u1: g*m/m2 st: NotStopd t0: [08:00:00 15/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 15/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 15/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:00:00 15/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [08:00:00 15/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 15/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [08:00:00 15/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [08:00:00 15/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [08:00:00 15/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [08:00:00 15/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [08:00:00 15/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 15/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 15/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 15/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [08:00:00 15/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [08:00:00 15/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 15/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serous v2: Small st: NotStopd t0: [08:00:00 15/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [08:00:00 15/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 15/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 15/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 15/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [08:00:00 15/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 15/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [08:00:00 15/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 15/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 15/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 15/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 15/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 15/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 15/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 15/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 15/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 15/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 18.4116 u1: ... st: NotStopd t0: [08:00:00 15/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 931.868 u1: ... st: NotStopd t0: [08:00:00 15/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2585.37 u1: ... st: NotStopd t0: [08:00:00 15/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 15/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 15/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 51.1236 u1: ml st: NotStopd t0: [08:00:00 15/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [08:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [08:00:00 15/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 15/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 15/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 15/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 15/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [08:00:00 15/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.55 u1: L/min st: NotStopd t0: [08:00:00 15/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd
t0: [08:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [08:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [08:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [08:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [08:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [08:00:00 15/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 4.08937 vu: ml t0: [08:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [08:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [08:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [08:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 15/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [08:00:00 15/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [08:00:00 15/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [08:00:00 15/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 35 u1: decFrc st: NotStopd t0: [08:00:00 15/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 15/11/2016] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [08:00:00 15/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 15/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 15/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [08:00:00 15/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [08:00:00 15/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [08:00:00 15/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 15/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 15/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [08:00:00 15/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 15/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [08:00:00 15/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 15/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 399 u1: ml/B st: NotStopd t0: [08:00:00 15/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 15/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 15/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 15/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 15/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 15/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [08:00:00 15/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [08:00:00 15/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Large
t0: [09:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [09:00:00 15/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.60289 u1: ... st: NotStopd t0: [09:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [09:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 15/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.84448 u1: kg x m st: NotStopd t0: [09:00:00 15/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.81588 u1: ... st: NotStopd t0: [09:00:00 15/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 84.864 u1: g * m st: NotStopd t0: [09:00:00 15/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.6859 u1: g*m/m2 st: NotStopd t0: [09:00:00 15/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [09:00:00 15/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 74.3333 u1: mmHg st: NotStopd t0: [09:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [09:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [09:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [09:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [09:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 46 u1: BPM st: NotStopd t0: [09:00:00 15/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.1588 u1: ... st: NotStopd t0: [09:00:00 15/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 676.838 u1: ... st: NotStopd t0: [09:00:00 15/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1876.92 u1: ... st: NotStopd t0: [09:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 15/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 78.3696 u1: ml st: NotStopd t0: [09:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [09:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [09:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 15/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.21 u1: L/min st: NotStopd
t0: [09:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [09:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [09:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [09:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [09:00:00 15/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 3.40781 vu: ml t0: [09:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [09:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [08:00:00 15/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.025 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 15/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [09:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:33:00 15/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [09:33:00 15/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [09:33:00 15/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [09:33:00 15/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [09:33:00 15/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 88 u1: mmHg rs: Final st: NotStopd t0: [09:33:00 15/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd
t0: [09:33:00 15/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.0082 u1: ml/dl st: NotStopd t0: [09:33:00 15/11/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 937.3 u1: ml/min st: NotStopd t0: [09:33:00 15/11/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 338 u1: ml/m/m st: NotStopd t0: [09:33:00 15/11/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 937.3 u1: ml/min st: NotStopd t0: [09:33:00 15/11/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 338.267 u1: ml/m/m st: NotStopd t0: [09:33:00 15/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [09:33:00 15/11/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 937.3 u1: ml/min st: NotStopd t0: [09:33:00 15/11/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 338.267 u1: ml/m/m st: NotStopd t0: [09:33:00 15/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [09:33:00 15/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 96 u1: % rs: Final st: NotStopd
t0: [08:00:00 15/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 15/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 15/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [08:00:00 15/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [10:00:00 15/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [10:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [10:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 15/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 15/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [10:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 15/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 200 rs: Manual st: NotStopd t0: [10:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [10:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [10:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [10:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [10:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [10:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [10:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [10:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [10:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 15/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 200 rs: Manual st: NotStopd
t0: [10:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [10:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [10:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [10:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [10:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [10:00:00 15/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 2.72625 vu: ml st: Stopped t0: [10:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [10:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [10:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 15/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [10:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [10:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [07:00:00 16/11/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 25 u1: mg tf: [12:00:00 17/11/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Furosemide v1: 100 u1: mg m2: D5W v2: 50 u2: ml tf: [12:00:00 17/11/2016] pt: IV Piggyback rt: IV fr: INFUSION m1: Milrinone v1: 20 u1: mg m2: D5W v2: 100 u2: ml
t0: [09:00:00 15/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [10:00:00 15/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
t0: [11:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [11:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 112 u1: BPM st: NotStopd t0: [11:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 15/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [11:00:00 15/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [11:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [11:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [11:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [11:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [11:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 36 u1: BPM st: NotStopd t0: [11:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [11:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [11:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [11:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [11:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [11:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [11:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [11:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [11:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [11:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [11:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 15/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [10:00:00 15/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 15/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 15/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [10:00:00 15/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [10:00:00 15/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 15/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 15/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 15/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 15/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 15/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [12:00:00 15/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 15/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 15/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 15/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 15/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 15/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 15/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 15/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 15/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 15/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 15/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [12:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 15/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 15/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 15/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 15/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [12:00:00 15/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [12:00:00 15/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 15/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [12:00:00 15/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 15/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [12:00:00 15/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 15/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 15/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 15/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 15/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 15/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 15/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 15/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 15/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 15/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:00:00 15/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [12:00:00 15/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 15/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [12:00:00 15/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [12:00:00 15/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 15/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [12:00:00 15/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 15/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [12:00:00 15/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: Backrub v2: Repositioned st: NotStopd t0: [12:00:00 15/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [12:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [12:00:00 15/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [12:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 15/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [12:00:00 15/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [12:00:00 15/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [12:00:00 15/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [12:00:00 15/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 15/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 15/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 15/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [12:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [12:00:00 15/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 15/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 15/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 15/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 15/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 15/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [12:00:00 15/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 15/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 15/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [12:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [12:00:00 15/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 15/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 15/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 15/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 15/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 15/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [12:00:00 15/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 15/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 15/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 15/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 15/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [12:00:00 15/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [12:00:00 15/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 15/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd
t0: [12:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [12:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [12:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [12:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [12:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [12:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [12:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 380 vu: ml
t0: [12:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [12:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 15/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [12:00:00 15/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate v2: H2 Blocker st: NotStopd
t0: [08:00:00 15/11/2016] tf: [20:00:00 17/11/2016] dt: 3600 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 20 vu: ml t0: [12:00:00 15/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 10 vu: ml
t0: [12:00:00 15/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [12:00:00 15/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [12:00:00 15/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [12:00:00 15/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 35 u1: decFrc st: NotStopd t0: [12:00:00 15/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 15/11/2016] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [12:00:00 15/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 15/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 15/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [12:00:00 15/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7.8 u1: cmH2O st: NotStopd t0: [12:00:00 15/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [12:00:00 15/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 15/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 15/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 31 u1: BPM st: NotStopd t0: [12:00:00 15/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 15/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 391 u1: ml/B st: NotStopd t0: [12:00:00 15/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 15/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 15/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 15/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 15/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 15/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [12:00:00 15/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [12:00:00 15/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Medium
t0: [13:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [13:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [13:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 15/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 15/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [13:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [13:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [13:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [13:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [13:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [13:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [13:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [13:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [13:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [13:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [13:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [13:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [13:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [13:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [13:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 15/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [14:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [14:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 15/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 15/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [14:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 15/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 162 rs: Manual st: NotStopd t0: [14:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 15/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [14:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 15/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 15/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [14:00:00 15/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 15/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73.3333 u1: mmHg st: NotStopd t0: [14:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [14:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [14:00:00 15/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [14:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [14:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [14:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [14:00:00 15/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [14:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 15/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 162 rs: Manual st: NotStopd
t0: [14:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [14:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [14:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [14:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [14:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [14:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [14:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [14:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [15:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [15:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 15/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 15/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68.6667 u1: mmHg st: NotStopd t0: [15:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [15:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [15:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [15:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 39 u1: BPM st: NotStopd t0: [15:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [15:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [15:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [15:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [15:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [15:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [15:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [15:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [15:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [15:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [15:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:15:00 15/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [15:15:00 15/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.2276 u1: ml/dl st: NotStopd t0: [15:15:00 15/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 12 rs: Final st: NotStopd t0: [15:15:00 15/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 38 rs: Final st: NotStopd t0: [15:15:00 15/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [15:15:00 15/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 116 u1: mmHg rs: Final st: NotStopd t0: [15:15:00 15/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [15:15:00 15/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [15:15:00 15/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd t0: [15:15:00 15/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.1 rs: Final st: NotStopd t0: [15:15:00 15/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd
t0: [15:15:00 15/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 45.6 rs: Final st: NotStopd t0: [15:15:00 15/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 45.6 rs: Final st: NotStopd
t0: [12:00:00 15/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 15/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 15/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 15/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 15/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 15/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 15/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 15/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 15/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 15/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 15/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 15/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 15/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 15/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [16:00:00 15/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 15/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 15/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 15/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [16:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 15/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 15/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 15/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 15/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 15/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 15/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 15/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 15/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 15/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [16:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 15/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 15/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 15/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [16:00:00 15/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [16:00:00 15/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [16:00:00 15/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 15/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [16:00:00 15/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 15/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 15/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 15/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 15/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 15/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 15/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 15/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 15/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 15/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 15/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 15/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 15/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [16:00:00 15/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [16:00:00 15/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [16:00:00 15/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:00:00 15/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [16:00:00 15/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 15/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [16:00:00 15/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [16:00:00 15/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [16:00:00 15/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [16:00:00 15/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [16:00:00 15/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 15/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 15/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 15/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [16:00:00 15/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 15/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [16:00:00 15/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 15/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 15/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 15/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 15/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 15/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 15/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 15/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [16:00:00 15/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 15/11/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 15/11/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 15/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 15/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 15/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 15/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [16:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [16:00:00 15/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 15/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 15/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 15/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 15/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd t0: [17:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [17:00:00 15/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.55957 u1: ... st: NotStopd t0: [17:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [17:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 15/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.8461 u1: kg x m st: NotStopd t0: [17:00:00 15/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.45487 u1: ... st: NotStopd t0: [17:00:00 15/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 80.1448 u1: g * m st: NotStopd t0: [17:00:00 15/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.8809 u1: g*m/m2 st: NotStopd t0: [17:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [17:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [17:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [17:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:00:00 15/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 29.9639 u1: ... st: NotStopd t0: [17:00:00 15/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 598.025 u1: ... st: NotStopd t0: [17:00:00 15/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1656.25 u1: ... st: NotStopd t0: [17:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 15/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 83.4118 u1: ml st: NotStopd t0: [17:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [17:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [17:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 15/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.09 u1: L/min st: NotStopd
t0: [16:00:00 15/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 15 vu: ml t0: [16:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [16:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [16:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [16:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [16:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [16:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [16:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [17:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [17:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [17:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [17:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [17:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [17:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [17:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [16:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [16:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [17:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:51:00 15/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [16:51:00 15/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.2028 u1: ml/dl st: NotStopd t0: [16:51:00 15/11/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 921.7 u1: ml/min st: NotStopd t0: [16:51:00 15/11/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 332.8 u1: ml/m/m st: NotStopd t0: [16:51:00 15/11/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 921.7 u1: ml/min st: NotStopd t0: [16:51:00 15/11/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 332.852 u1: ml/m/m st: NotStopd t0: [16:51:00 15/11/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 921.7 u1: ml/min st: NotStopd t0: [16:51:00 15/11/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 332.852 u1: ml/m/m st: NotStopd t0: [16:51:00 15/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [16:51:00 15/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 38 rs: Final st: NotStopd t0: [16:51:00 15/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [16:51:00 15/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 108 u1: mmHg rs: Final st: NotStopd t0: [16:51:00 15/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [16:51:00 15/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [17:00:00 15/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [17:00:00 15/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [17:00:00 15/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [17:00:00 15/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [17:00:00 15/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 15/11/2016] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [17:00:00 15/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:00:00 15/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [17:00:00 15/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [17:00:00 15/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7.4 u1: cmH2O st: NotStopd t0: [17:00:00 15/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8 u1: L/min st: NotStopd t0: [17:00:00 15/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 15/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [17:00:00 15/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [17:00:00 15/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 15/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 384 u1: ml/B st: NotStopd t0: [17:00:00 15/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [17:00:00 15/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [17:00:00 15/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [17:00:00 15/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [17:00:00 15/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 15/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [17:00:00 15/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
tf: [07:00:00 16/11/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 18, 2, 10 dn: 3 m1: Acetazolamide Sodium v1: 250 u1: mg m2: D5W v2: 25 u2: ml
t0: [12:00:00 15/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [16:00:00 15/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [16:00:00 15/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 15/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Procedural st: NotStopd t0: [16:00:00 15/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [16:00:00 15/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [16:00:00 15/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [16:00:00 15/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [18:00:00 15/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [18:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [18:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 15/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 15/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 15/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [18:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 15/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 15/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [18:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [18:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [18:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [18:00:00 15/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [18:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [18:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [18:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [18:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [18:00:00 15/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [18:00:00 15/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [18:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [18:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [18:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [18:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [18:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [18:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [18:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [18:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [18:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 15/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [17:00:00 15/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
t0: [19:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [19:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [19:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [19:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [19:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [19:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 34 u1: BPM st: NotStopd t0: [19:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [19:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [19:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [19:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [19:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [19:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [19:00:00 15/11/2016] id: D5W 100.0ml + 100mghr Lasix Tube Feeding el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [19:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [19:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 500 vu: ml
t0: [19:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [19:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 15/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Large t0: [16:00:00 15/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Large t0: [18:00:00 15/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Large
t0: [23:00:00 15/11/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [20:00:00 15/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [20:00:00 15/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [20:00:00 15/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [20:00:00 15/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [20:00:00 15/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 15/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 15/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 15/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [20:00:00 15/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 15/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [20:00:00 15/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 15/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 15/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [20:00:00 15/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 15/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 413 u1: ml/B st: NotStopd t0: [20:00:00 15/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 15/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 15/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 15/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 15/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 15/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [20:00:00 15/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd
t0: [20:00:00 15/11/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 15/11/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 15/11/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 15/11/2016] id: Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 15/11/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 15/11/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 15/11/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 15/11/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 15/11/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [20:00:00 15/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 15/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 15/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 15/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 15/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [20:00:00 15/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.70758 u1: ... st: NotStopd t0: [20:00:00 15/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 15/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 15/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 15/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate v2: Carafate st: NotStopd t0: [20:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 15/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 15/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 15/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 15/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 15/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 15/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 15/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 15/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [20:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 15/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 15/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 15/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [20:00:00 15/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [20:00:00 15/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [20:00:00 15/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 15/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 15/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 15/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 15/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [20:00:00 15/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 15/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 15/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 15/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.67 u1: kg x m st: NotStopd t0: [20:00:00 15/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.14079 u1: ... st: NotStopd t0: [20:00:00 15/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 15/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 15/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 15/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 15/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 98.26 u1: g * m st: NotStopd t0: [20:00:00 15/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35.3791 u1: g*m/m2 st: NotStopd t0: [20:00:00 15/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 15/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 15/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 15/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [20:00:00 15/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [20:00:00 15/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 15/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [20:00:00 15/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [20:00:00 15/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 15/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 15/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [20:00:00 15/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 15/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 15/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [20:00:00 15/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [20:00:00 15/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [20:00:00 15/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [20:00:00 15/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [20:00:00 15/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 15/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 15/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 15/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [20:00:00 15/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 15/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [20:00:00 15/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 15/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 15/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 15/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 15/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 15/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 15/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 15/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 15/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30.6859 u1: ... st: NotStopd t0: [20:00:00 15/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 682.667 u1: ... st: NotStopd t0: [20:00:00 15/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1889.3 u1: ... st: NotStopd t0: [20:00:00 15/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 15/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 15/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 15/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 15/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 15/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 85.2273 u1: ml st: NotStopd t0: [20:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [20:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [20:00:00 15/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [20:00:00 15/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [20:00:00 15/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 15/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 15/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 15/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 15/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 15/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [20:00:00 15/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 15/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 15/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 15/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 15/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 15/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.5 u1: L/min st: NotStopd t0: [20:00:00 15/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: None st: NotStopd
t0: [20:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [20:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [20:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [20:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [20:00:00 15/11/2016] tf: [15:00:00 23/11/2016] dt: 11220 id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [20:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [20:00:00 15/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [20:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 600 vu: ml
t0: [20:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [20:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 15/11/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 5 ap: none
t0: [20:50:00 15/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [20:50:00 15/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 202 rs: Final st: NotStopd t0: [20:50:00 15/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [20:50:00 15/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 11 rs: Final st: NotStopd t0: [20:50:00 15/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 37 rs: Final st: NotStopd t0: [20:50:00 15/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [20:50:00 15/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 134 u1: mmHg rs: Final st: NotStopd t0: [20:50:00 15/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [20:50:00 15/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 202 rs: Final st: NotStopd t0: [20:50:00 15/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.15 rs: Final st: NotStopd t0: [20:50:00 15/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd
t0: [21:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [21:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 15/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [21:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [21:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [21:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [21:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [21:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [21:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [21:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [21:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [21:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [21:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [21:00:00 15/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [21:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [21:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [21:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [21:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 15/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30.7 u1: % rs: Final st: NotStopd
t0: [21:00:00 15/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [21:00:00 15/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [21:00:00 15/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 49.7 rs: Final st: NotStopd t0: [21:00:00 15/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [21:00:00 15/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [21:00:00 15/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 49.7 rs: Final st: NotStopd
t0: [22:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [22:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 15/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 15/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 15/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [22:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 15/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 15/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [22:00:00 15/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [22:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [22:00:00 15/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 15/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [22:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [22:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 55 u1: BPM st: NotStopd t0: [22:00:00 15/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 15/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [22:00:00 15/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [22:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [22:00:00 15/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [22:00:00 15/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Logroll st: NotStopd t0: [22:00:00 15/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [22:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [22:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [22:00:00 15/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 8 vu: ml t0: [22:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [22:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 450 vu: ml
t0: [22:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [22:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 15/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [22:00:00 15/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
t0: [23:00:00 15/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 15/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [23:00:00 15/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 15/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 15/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 15/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 15/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 15/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [23:00:00 15/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 15/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [23:00:00 15/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [23:00:00 15/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [23:00:00 15/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 15/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [23:00:00 15/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 33 u1: BPM st: NotStopd t0: [23:00:00 15/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 15/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 15/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [23:00:00 15/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [23:00:00 15/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 15/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [23:00:00 15/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [23:00:00 15/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [23:00:00 15/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [23:00:00 15/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [23:00:00 15/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [23:00:00 15/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [23:00:00 15/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 15/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 15/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [23:00:00 15/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 15/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 260 cv: 260 ap: none t0: [23:00:00 15/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 55.405 cv: 2264.66 ap: none t0: [23:00:00 15/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 85 cv: 2040 ap: none t0: [23:00:00 15/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 260 cv: 7340 ap: none t0: [23:00:00 15/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 260 cv: 7345 ap: carryForward
id: Lasix el: 101 cu: CSRU cg: RN io: D5W 50.0ml + 100mghr Lasix IV Infusions am: 100 du: mghr rt: IV Drip
io: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ra: 4 ru: ml/hr
id: D5W el: 1 cu: CSRU cg: RN io: D5W 50.0ml + 100mghr Lasix IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [20:00:00 15/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 15/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [21:00:00 15/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [21:00:00 15/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [21:00:00 15/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [21:00:00 15/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 16/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 16/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 16/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 16/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 16/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [00:00:00 16/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [00:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 16/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 16/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate v2: Carafate st: NotStopd t0: [00:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 16/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 16/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 16/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 16/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 16/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 16/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 16/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 16/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [00:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 16/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 16/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 16/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [00:00:00 16/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [00:00:00 16/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [00:00:00 16/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 16/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 16/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 16/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 16/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [00:00:00 16/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 16/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 16/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 16/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 16/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 16/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 16/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 16/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 16/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 16/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 16/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 16/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 16/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [00:00:00 16/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [00:00:00 16/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 16/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [00:00:00 16/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [00:00:00 16/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 16/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [00:00:00 16/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [00:00:00 16/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [00:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 16/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 16/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 16/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [00:00:00 16/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [00:00:00 16/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [00:00:00 16/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [00:00:00 16/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [00:00:00 16/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 16/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 16/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 16/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [00:00:00 16/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 16/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [00:00:00 16/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 16/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 16/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 16/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 16/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 16/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 16/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [00:00:00 16/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 16/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 16/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 16/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 16/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 16/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [00:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [00:00:00 16/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [00:00:00 16/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 16/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 16/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 16/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [00:00:00 16/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: None st: NotStopd
t0: [00:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [00:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [00:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [00:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [00:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [00:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [00:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [00:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 16/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [00:00:00 16/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [00:00:00 16/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [00:00:00 16/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [00:00:00 16/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 16/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 16/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 16/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [00:00:00 16/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 16/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.5 u1: L/min st: NotStopd t0: [00:00:00 16/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 16/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 16/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RRT v1: 159 u1: kg st: NotStopd t0: [00:00:00 16/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 31 u1: BPM st: NotStopd t0: [00:00:00 16/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 16/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 425 u1: ml/B st: NotStopd t0: [00:00:00 16/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 16/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 16/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 16/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 16/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 16/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [00:00:00 16/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd
t0: [23:00:00 15/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RRT pv: -119.595 cv: -119.595 ap: none t0: [23:00:00 15/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RRT pv: 140.405 cv: 4344.66 ap: none t0: [23:00:00 15/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RRT cv: 40 ap: none t0: [23:00:00 15/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RRT pv: -119.595 cv: -3000.34 ap: carryForward t0: [23:00:00 15/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RRT pv: -119.595 cv: 6391.93 ap: carryForward t0: [23:00:00 16/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 220 ap: none
t0: [01:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [01:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 16/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [01:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [01:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [01:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 33 u1: BPM st: NotStopd t0: [01:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [01:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [01:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [01:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [01:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [01:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [01:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [01:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [01:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [01:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [01:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:05:00 16/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [01:05:00 16/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 9 rs: Final st: NotStopd t0: [01:05:00 16/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 36 rs: Final st: NotStopd t0: [01:05:00 16/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 54 u1: mmHg rs: Final st: NotStopd t0: [01:05:00 16/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 110 u1: mmHg rs: Final st: NotStopd t0: [01:05:00 16/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd
t0: [01:05:00 16/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 169 rs: Final st: NotStopd t0: [01:05:00 16/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.2 rs: Final st: NotStopd t0: [01:05:00 16/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 169 rs: Final st: NotStopd t0: [01:05:00 16/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.1 rs: Final st: NotStopd t0: [01:05:00 16/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.2 rs: Final st: NotStopd
t0: [02:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [02:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 16/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [02:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [02:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [02:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [02:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [02:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [02:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [02:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 16/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [02:00:00 16/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [02:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [02:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [02:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [02:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [02:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [02:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [02:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [02:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [03:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 16/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [03:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [03:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [03:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [03:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [03:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 36 u1: BPM st: NotStopd t0: [03:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [03:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [03:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [03:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [03:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [03:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [03:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [03:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [03:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 290 vu: ml
t0: [03:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 16/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 200 cv: 200 ap: none t0: [23:00:00 16/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 110.405 cv: 110.405 ap: none t0: [23:00:00 16/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 225.405 cv: 2614.72 ap: none t0: [23:00:00 16/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 310.405 cv: 4534.72 ap: none t0: [23:00:00 16/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 85 cv: 1700 ap: none t0: [23:00:00 16/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 200 cv: 6630 ap: none t0: [23:00:00 16/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 110.405 cv: -2115.28 ap: carryForward t0: [23:00:00 16/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 200 cv: 6650 ap: carryForward t0: [23:00:00 16/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 110.405 cv: 4276.64 ap: carryForward
t0: [03:26:00 16/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.08 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd
t0: [03:26:00 16/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 182 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 182 rs: Final st: NotStopd
t0: [00:00:00 16/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN st: NotStopd t0: [04:00:00 16/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 16/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 16/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 16/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 16/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [04:00:00 16/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [04:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 16/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 16/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate v2: Carafate st: NotStopd t0: [04:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 16/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 16/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 16/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 16/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 16/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 16/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 16/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 16/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [04:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 16/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 16/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 16/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [04:00:00 16/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [04:00:00 16/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [04:00:00 16/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 16/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 16/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 16/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [04:00:00 16/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 16/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [04:00:00 16/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 16/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 16/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 16/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 16/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 16/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 16/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 16/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 16/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 16/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 16/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 16/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 16/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [04:00:00 16/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [04:00:00 16/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [04:00:00 16/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [04:00:00 16/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [04:00:00 16/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 16/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [04:00:00 16/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [04:00:00 16/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 16/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [04:00:00 16/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [04:00:00 16/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [04:00:00 16/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [04:00:00 16/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [04:00:00 16/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 16/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 16/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 16/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [04:00:00 16/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 16/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [04:00:00 16/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 16/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 16/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 16/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 16/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 16/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 16/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [04:00:00 16/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 16/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 16/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 16/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 16/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [04:00:00 16/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [04:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [04:00:00 16/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [04:00:00 16/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [04:00:00 16/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 16/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 16/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 16/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [04:00:00 16/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 16/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [04:00:00 16/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [04:00:00 16/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 16/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [04:00:00 16/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [04:00:00 16/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 16/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: None st: NotStopd
t0: [04:00:00 16/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [04:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [04:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [04:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [04:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [04:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [04:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [04:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [04:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:26:00 16/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.1 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 50 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 10.1 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30.6 u1: % rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.5 u1: gm/dl rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 50 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 269 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.41 u1: /mic l rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.1 rs: Final st: NotStopd
t0: [03:26:00 16/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.7 u1: mEq/L rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.7 u1: mEq/L rs: Final st: NotStopd t0: [03:26:00 16/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [05:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [05:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 16/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [05:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [05:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [05:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 159 u1: kg st: NotStopd t0: [05:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [05:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [05:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 16/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [05:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [05:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [05:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [05:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [05:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [05:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [05:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [05:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [05:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 16/11/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 120 u1: units st: NotStopd t0: [05:00:00 16/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [05:00:00 16/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [05:00:00 16/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 16/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:00:00 16/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:00:00 16/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [05:00:00 16/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [05:00:00 16/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8 u1: L/min st: NotStopd t0: [05:00:00 16/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 16/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [05:00:00 16/11/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 120 u1: units st: NotStopd t0: [05:00:00 16/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [05:00:00 16/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 16/11/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 36 u1: BPM st: NotStopd t0: [05:00:00 16/11/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.3 u1: L st: NotStopd t0: [05:00:00 16/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 466 u1: ml/B st: NotStopd t0: [05:00:00 16/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 16/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [05:00:00 16/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd
t0: [05:28:00 16/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [05:28:00 16/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 36 rs: Final st: NotStopd t0: [05:28:00 16/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [05:28:00 16/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 107 u1: mmHg rs: Final st: NotStopd t0: [05:28:00 16/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.15 rs: Final st: NotStopd
t0: [05:28:00 16/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: RN v1: 7.42 rs: Final st: NotStopd t0: [05:28:00 16/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 157 rs: Final st: NotStopd t0: [05:28:00 16/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: RN v1: 7.42 rs: Final st: NotStopd t0: [05:28:00 16/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 157 rs: Final st: NotStopd t0: [05:30:00 16/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:30:00 16/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:30:00 16/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [05:30:00 16/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:30:00 16/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [05:30:00 16/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [05:30:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [05:30:00 16/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 445 u1: ml/B st: NotStopd t0: [05:30:00 16/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:30:00 16/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [05:00:00 16/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.15162 u1: ... st: NotStopd t0: [05:00:00 16/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.16026 u1: kg x m st: NotStopd t0: [05:00:00 16/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.23827 u1: ... st: NotStopd t0: [05:00:00 16/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 67.184 u1: g * m st: NotStopd t0: [05:00:00 16/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.1877 u1: g*m/m2 st: NotStopd t0: [05:00:00 16/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.4657 u1: ... st: NotStopd t0: [05:00:00 16/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 791.946 u1: ... st: NotStopd t0: [05:00:00 16/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2195.35 u1: ... st: NotStopd t0: [05:00:00 16/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 65.4945 u1: ml st: NotStopd t0: [05:00:00 16/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.96 u1: L/min st: NotStopd
t0: [06:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [06:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 16/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [06:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [06:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [06:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [06:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [06:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [06:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [06:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [06:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [06:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [06:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 450 vu: ml
t0: [06:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [06:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 16/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [06:00:00 16/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [06:00:00 16/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [06:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [06:00:00 16/11/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.83407 u1: m2 st: NotStopd t0: [06:00:00 16/11/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 2.12333 u1: m2 st: NotStopd t0: [06:00:00 16/11/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [06:00:00 16/11/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd
t0: [04:00:00 16/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 15 vu: ml t0: [06:00:00 16/11/2016] tf: [21:00:00 16/11/2016] dt: 900 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [04:00:00 16/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [06:00:00 16/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 16/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 16/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [06:00:00 16/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 16/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [06:00:00 16/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [06:00:00 16/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd
t0: [07:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [07:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 16/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [07:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [07:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [07:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [07:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [07:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [07:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [07:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [07:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [07:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [07:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [07:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [07:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [07:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [07:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [07:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 16/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [08:00:00 16/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [08:00:00 16/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [08:00:00 16/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [08:00:00 16/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 16/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 16/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 16/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [08:00:00 16/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [08:00:00 16/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [08:00:00 16/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 16/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 16/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [08:00:00 16/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [08:00:00 16/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Frothy st: NotStopd t0: [08:00:00 16/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 16/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [08:00:00 16/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 16/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 16/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 16/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 16/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 16/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [08:00:00 16/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd
tf: [08:00:00 18/11/2016] pt: IV Piggyback rt: IV fr: Q6H fs: 4, 10, 16, 22 dn: 4 m1: Acetazolamide Sodium v1: 250 u1: mg m2: D5W v2: 25 u2: ml
t0: [08:21:00 16/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [08:21:00 16/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [08:21:00 16/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [08:21:00 16/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 38 rs: Final st: NotStopd t0: [08:21:00 16/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [08:21:00 16/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 120 u1: mmHg rs: Final st: NotStopd t0: [08:21:00 16/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [08:21:00 16/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.13 rs: Final st: NotStopd t0: [08:21:00 16/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [07:00:00 16/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [07:30:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:30:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [07:30:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:30:00 16/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Agitated st: NotStopd t0: [07:30:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:30:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:30:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:30:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 156 u1: BPM st: NotStopd t0: [07:30:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [07:30:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:30:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [07:30:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [07:30:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:30:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [07:30:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 36 u1: BPM st: NotStopd t0: [07:30:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:30:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:30:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [07:30:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [07:30:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:45:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:45:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:45:00 16/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:45:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:45:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:45:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:45:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [07:45:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:45:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [07:45:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [07:45:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [07:45:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:45:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [07:45:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [07:45:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:45:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:45:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 35.6 u1: Deg. C st: NotStopd t0: [07:45:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 96.08 u1: Deg. F st: NotStopd t0: [07:45:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 16/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 16/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 16/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 16/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [08:00:00 16/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.79783 u1: ... st: NotStopd t0: [08:00:00 16/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [08:00:00 16/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 16/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 16/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 16/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 16/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Altered LOC st: NotStopd t0: [08:00:00 16/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [08:00:00 16/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [08:00:00 16/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [08:00:00 16/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [08:00:00 16/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 16/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 16/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 16/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 16/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 16/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 16/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [08:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 16/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 16/11/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 16/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [08:00:00 16/11/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [08:00:00 16/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 16/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 16/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 16/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 16/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [08:00:00 16/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 16/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [08:00:00 16/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 16/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 16/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 16/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 16/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 16/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.7996 u1: kg x m st: NotStopd t0: [08:00:00 16/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.81588 u1: ... st: NotStopd t0: [08:00:00 16/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 16/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 16/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 16/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 89.5696 u1: g * m st: NotStopd t0: [08:00:00 16/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 32.491 u1: g*m/m2 st: NotStopd t0: [08:00:00 16/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 16/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 16/11/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [08:00:00 16/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 16/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [08:00:00 16/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [08:00:00 16/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [08:00:00 16/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [08:00:00 16/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 16/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 16/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [08:00:00 16/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 16/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [08:00:00 16/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [08:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [08:00:00 16/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 16/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 16/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 16/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [08:00:00 16/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [08:00:00 16/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 16/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [08:00:00 16/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 16/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 16/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 16/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 16/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [08:00:00 16/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 16/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [08:00:00 16/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 16/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 16/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 16/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 16/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 16/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 16/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 16/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 32.13 u1: ... st: NotStopd t0: [08:00:00 16/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 547.097 u1: ... st: NotStopd t0: [08:00:00 16/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1514.29 u1: ... st: NotStopd t0: [08:00:00 16/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 16/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 16/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 16/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 89.0805 u1: ml st: NotStopd t0: [08:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [08:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [08:00:00 16/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [08:00:00 16/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 16/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 16/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 16/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 16/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 16/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd t0: [08:00:00 16/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 16/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 16/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 16/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 16/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 16/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 16/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 16/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 16/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.75 u1: L/min st: NotStopd t0: [08:00:00 16/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:21:00 16/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 179 rs: Final st: NotStopd t0: [08:21:00 16/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 179 rs: Final st: NotStopd
t0: [08:00:00 16/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [08:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [08:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [08:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [08:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [08:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [08:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [08:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 350 vu: ml
t0: [07:30:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:30:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:30:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [07:30:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:45:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:45:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:45:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [07:45:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [08:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [09:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [09:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [09:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [09:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [09:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [09:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [09:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [09:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [09:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [09:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [09:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [09:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [09:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [09:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:21:00 16/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd t0: [08:21:00 16/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd t0: [09:00:00 16/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [09:00:00 16/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [10:00:00 16/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [10:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [10:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 16/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [10:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 16/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 16/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [10:00:00 16/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [10:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [10:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [10:00:00 16/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [10:00:00 16/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [10:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [10:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 16/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Frothy st: NotStopd t0: [10:00:00 16/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [10:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [10:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [10:00:00 16/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [10:00:00 16/11/2016] id: Trach Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 16/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [10:00:00 16/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [10:00:00 16/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [10:00:00 16/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [10:00:00 16/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [10:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 16/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [10:00:00 16/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [10:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [10:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [10:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [10:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [10:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [10:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [10:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [10:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [10:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [19:00:00 28/11/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 50 u1: mg
t0: [11:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [11:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [11:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [11:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [11:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [11:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [11:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [11:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [11:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [11:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [11:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [11:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [11:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [11:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [11:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 16/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [12:00:00 16/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [12:00:00 16/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [12:00:00 16/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [12:00:00 16/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 16/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 16/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 16/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [12:00:00 16/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.3 u1: cmH2O st: NotStopd t0: [12:00:00 16/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [12:00:00 16/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 16/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:00:00 16/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [12:00:00 16/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [12:00:00 16/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 441 u1: ml/B st: NotStopd t0: [12:00:00 16/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 16/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 16/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 16/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 16/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 16/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [12:00:00 16/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd
t0: [12:26:00 16/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [12:26:00 16/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [12:26:00 16/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [12:26:00 16/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 35 rs: Final st: NotStopd t0: [12:26:00 16/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 52 u1: mmHg rs: Final st: NotStopd t0: [12:26:00 16/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 124 u1: mmHg rs: Final st: NotStopd t0: [12:26:00 16/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [12:26:00 16/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [12:00:00 16/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 16/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 16/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 16/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 9-Severe-Worst st: NotStopd t0: [12:00:00 16/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 16/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [12:00:00 16/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.19856 u1: ... st: NotStopd t0: [12:00:00 16/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [12:00:00 16/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 16/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 16/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 16/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 16/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 16/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Altered LOC st: NotStopd t0: [12:00:00 16/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [12:00:00 16/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [12:00:00 16/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [12:00:00 16/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 16/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [12:00:00 16/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 16/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 16/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 16/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 16/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 16/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 16/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [12:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 16/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 16/11/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 16/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 16/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 16/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [12:00:00 16/11/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 16/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [12:00:00 16/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 16/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [12:00:00 16/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 16/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 16/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 16/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [12:00:00 16/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 16/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [12:00:00 16/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 16/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 16/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 16/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 16/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 16/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.71486 u1: kg x m st: NotStopd t0: [12:00:00 16/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.05776 u1: ... st: NotStopd t0: [12:00:00 16/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 16/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 16/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 16/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 16/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 72.2568 u1: g * m st: NotStopd t0: [12:00:00 16/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.9928 u1: g*m/m2 st: NotStopd t0: [12:00:00 16/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 16/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 16/11/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [12:00:00 16/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 16/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [12:00:00 16/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [12:00:00 16/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 16/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [12:00:00 16/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 16/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 16/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [12:00:00 16/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 9-Severe-Worst st: NotStopd t0: [12:00:00 16/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [12:00:00 16/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [12:00:00 16/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Throbbing st: NotStopd t0: [12:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [12:00:00 16/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 16/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 16/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [12:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 16/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [12:00:00 16/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [12:00:00 16/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 16/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [12:00:00 16/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 16/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 16/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 16/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Hydrogel/Vigilon st: NotStopd t0: [12:00:00 16/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [12:00:00 16/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 16/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [12:00:00 16/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 16/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 16/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 16/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 16/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 16/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 16/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [12:00:00 16/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 16/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.7978 u1: ... st: NotStopd t0: [12:00:00 16/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 683.087 u1: ... st: NotStopd t0: [12:00:00 16/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1890.91 u1: ... st: NotStopd t0: [12:00:00 16/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 16/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 16/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 16/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [12:00:00 16/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 16/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 77.0886 u1: ml st: NotStopd t0: [12:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [12:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [12:00:00 16/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [12:00:00 16/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 16/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 16/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 16/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 16/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 16/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd t0: [12:00:00 16/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 16/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Chairfast st: NotStopd t0: [12:00:00 16/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [12:00:00 16/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 16/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 16/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 16/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [12:00:00 16/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 16/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.09 u1: L/min st: NotStopd t0: [12:00:00 16/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:26:00 16/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 149 rs: Final st: NotStopd t0: [12:26:00 16/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd t0: [12:26:00 16/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 149 rs: Final st: NotStopd t0: [12:26:00 16/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd
t0: [11:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vu: ml st: Stopped t0: [12:00:00 16/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [12:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [12:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [12:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [12:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [12:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [12:00:00 16/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [12:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [12:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [12:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [13:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [13:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [13:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [13:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [13:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [13:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [13:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 16/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [13:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [13:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [13:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [13:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [13:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [13:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [13:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [13:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [14:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [14:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [14:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [14:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [14:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [14:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [14:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [14:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [14:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [14:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [14:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [14:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [14:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 16/11/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Ultrasound st: NotStopd
t0: [14:00:00 16/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml
t0: [14:00:00 16/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 16/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [14:00:00 16/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [14:00:00 16/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [14:00:00 16/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 16/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 16/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 16/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [14:00:00 16/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [14:00:00 16/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 16/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [14:00:00 16/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: Backrub st: NotStopd t0: [14:00:00 16/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [14:00:00 16/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 16/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 16/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 16/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 16/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [14:00:00 16/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [14:00:00 16/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [14:00:00 16/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [14:00:00 16/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 16/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [15:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [15:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [15:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [15:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [15:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [15:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [15:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [15:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [15:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [15:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [15:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [15:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [15:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [15:00:00 16/11/2016] tf: [10:00:00 17/11/2016] dt: 1140 id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml st: Restart t0: [15:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [15:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [15:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 16/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [15:00:00 16/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 16/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [15:00:00 16/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [15:00:00 16/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [15:00:00 16/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [15:00:00 16/11/2016] id: Significant Events el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd
t0: [14:00:00 16/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [14:00:00 16/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [14:00:00 16/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [14:00:00 16/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [14:00:00 16/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [14:00:00 16/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [14:00:00 16/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 16/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 16/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 16/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 16/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 16/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 16/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 16/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 16/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [16:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [16:00:00 16/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 16/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 16/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 16/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 16/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Anxiety st: NotStopd t0: [16:00:00 16/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [16:00:00 16/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [16:00:00 16/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [16:00:00 16/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [16:00:00 16/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 16/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 16/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 16/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 16/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 16/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [16:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 16/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 16/11/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 16/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [16:00:00 16/11/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [16:00:00 16/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [16:00:00 16/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 16/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 16/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 16/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [16:00:00 16/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 16/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 16/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 16/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [16:00:00 16/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 16/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 16/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 16/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 16/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 16/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 16/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 16/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 16/11/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [16:00:00 16/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 16/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [16:00:00 16/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [16:00:00 16/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [16:00:00 16/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Wires DC'd st: NotStopd t0: [16:00:00 16/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [16:00:00 16/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [16:00:00 16/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [16:00:00 16/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 16/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [16:00:00 16/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [16:00:00 16/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [16:00:00 16/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [16:00:00 16/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 16/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 16/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [16:00:00 16/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 16/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [16:00:00 16/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 16/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 16/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 16/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 16/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 16/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 16/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 16/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 16/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 16/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 16/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 16/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 16/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [16:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [16:00:00 16/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [16:00:00 16/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [16:00:00 16/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [16:00:00 16/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [16:00:00 16/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 16/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 16/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [16:00:00 16/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 16/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [16:00:00 16/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 16/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: None st: NotStopd
t0: [10:00:00 16/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Large t0: [15:00:00 16/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [16:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [16:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [16:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [16:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [16:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [16:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [16:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [16:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [16:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 16/11/2016] id: .9% Normal Saline 50.0ml + 50Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 0 st: D/C'd
t0: [16:31:00 16/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [16:31:00 16/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [16:31:00 16/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [16:31:00 16/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [16:31:00 16/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:31:00 16/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:31:00 16/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:31:00 16/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [16:31:00 16/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:31:00 16/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [16:31:00 16/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:31:00 16/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:31:00 16/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [16:31:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:31:00 16/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [16:31:00 16/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:31:00 16/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [16:31:00 16/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [16:31:00 16/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [16:31:00 16/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:31:00 16/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [16:31:00 16/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd
t0: [17:00:00 16/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [17:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [17:00:00 16/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.1769 u1: ... st: NotStopd t0: [17:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [17:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 16/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [17:00:00 16/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.49454 u1: kg x m st: NotStopd t0: [17:00:00 16/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.98556 u1: ... st: NotStopd t0: [17:00:00 16/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 67.4288 u1: g * m st: NotStopd t0: [17:00:00 16/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.1877 u1: g*m/m2 st: NotStopd t0: [17:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [17:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [17:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [17:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 16/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 26.7148 u1: ... st: NotStopd t0: [17:00:00 16/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 663.35 u1: ... st: NotStopd t0: [17:00:00 16/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1834.86 u1: ... st: NotStopd t0: [17:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 16/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [17:00:00 16/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [17:00:00 16/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 74.4444 u1: ml st: NotStopd t0: [17:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [17:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [17:00:00 16/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [17:00:00 16/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [17:00:00 16/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [17:00:00 16/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [17:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 16/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.03 u1: L/min st: NotStopd
t0: [17:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [17:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [17:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [17:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [17:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [17:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [17:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [17:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [17:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [12:00:00 17/11/2016] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 17 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [17:10:00 16/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [17:10:00 16/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [17:10:00 16/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [17:10:00 16/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd
t0: [23:00:00 16/11/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: 3161 cv: 0 ap: carryForward
t0: [16:00:00 16/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 154 rs: Manual st: NotStopd t0: [18:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [18:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 16/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 16/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 16/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [18:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 16/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 16/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [18:00:00 16/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 51 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [18:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [18:00:00 16/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 16/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [18:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [18:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 16/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [18:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [18:00:00 16/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [18:00:00 16/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [18:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [18:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml
t0: [18:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [18:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml nb: 1 t0: [18:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml nb: 1 t0: [18:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml nb: 1
t0: [18:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 480 vu: ml
t0: [17:00:00 16/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 16/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [17:00:00 16/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [17:00:00 16/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [17:00:00 16/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [18:00:00 16/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [19:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [19:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [19:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 52 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [19:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [19:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [19:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [19:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [19:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [19:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [19:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [19:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [19:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [19:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [19:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [19:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [19:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [19:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:05:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:05:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [19:05:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:05:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:05:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:05:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:05:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [19:05:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:05:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 51 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [19:05:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [19:05:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [19:05:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:05:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [19:05:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:05:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [19:05:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:05:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [19:05:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [19:05:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:05:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:05:00 16/11/2016] tf: [22:00:00 16/11/2016] dt: 175 id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.037 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:05:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:05:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [19:05:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:05:00 16/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [19:05:00 16/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [19:05:00 16/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [19:05:00 16/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [19:05:00 16/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [19:05:00 16/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [19:05:00 16/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [19:05:00 16/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [19:05:00 16/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.6 u1: cmH2O st: NotStopd t0: [19:05:00 16/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13.2 u1: L/min st: NotStopd t0: [19:05:00 16/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [19:05:00 16/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [19:05:00 16/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [19:05:00 16/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [19:05:00 16/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 488 u1: ml/B st: NotStopd t0: [19:05:00 16/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [19:05:00 16/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [19:05:00 16/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [19:05:00 16/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [19:05:00 16/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [19:05:00 16/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [19:05:00 16/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd
t0: [20:00:00 16/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 16/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 16/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 16/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [20:00:00 16/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [20:00:00 16/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.16968 u1: ... st: NotStopd t0: [20:00:00 16/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 16/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 16/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 16/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 16/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 16/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 16/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 16/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 16/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 16/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 16/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [20:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 16/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 16/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 16/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [20:00:00 16/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [20:00:00 16/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [20:00:00 16/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 16/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 16/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 16/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [20:00:00 16/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 16/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [20:00:00 16/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 16/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 16/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 16/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 16/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 16/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.67205 u1: kg x m st: NotStopd t0: [20:00:00 16/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.50181 u1: ... st: NotStopd t0: [20:00:00 16/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 16/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 16/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 16/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 16/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 101.347 u1: g * m st: NotStopd t0: [20:00:00 16/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.4621 u1: g*m/m2 st: NotStopd t0: [20:00:00 16/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 16/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 16/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 16/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [20:00:00 16/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [20:00:00 16/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 16/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [20:00:00 16/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [20:00:00 16/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 16/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [20:00:00 16/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [20:00:00 16/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [20:00:00 16/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [20:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [20:00:00 16/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 16/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 16/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 16/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [20:00:00 16/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [20:00:00 16/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [20:00:00 16/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [20:00:00 16/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 16/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 16/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [20:00:00 16/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 16/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [20:00:00 16/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 16/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 16/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 16/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 16/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 16/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 16/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 16/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 16/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.213 u1: ... st: NotStopd t0: [20:00:00 16/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 574.032 u1: ... st: NotStopd t0: [20:00:00 16/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1589.91 u1: ... st: NotStopd t0: [20:00:00 16/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 16/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 16/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 16/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 92.4211 u1: ml st: NotStopd t0: [20:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [20:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [20:00:00 16/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [20:00:00 16/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 16/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 16/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 16/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 16/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 16/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 16/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 16/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [20:00:00 16/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 16/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 16/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 16/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 16/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 16/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.78 u1: L/min st: NotStopd t0: [20:00:00 16/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: None st: NotStopd
t0: [20:00:00 16/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [20:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [20:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [20:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [20:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [20:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [20:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [20:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml
t0: [20:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 16/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.022 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [20:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 16/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [21:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [21:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [21:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [21:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [21:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [21:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [21:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [21:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [21:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [21:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [21:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [21:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [21:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [21:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [21:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [21:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml
t0: [21:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 16/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.022 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [21:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:19:00 16/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [22:19:00 16/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [22:19:00 16/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 35 rs: Final st: NotStopd t0: [22:19:00 16/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [22:19:00 16/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 184 u1: mmHg rs: Final st: NotStopd t0: [22:19:00 16/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd
t0: [22:00:00 16/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [22:00:00 16/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [22:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 16/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [22:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 16/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 16/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [22:00:00 16/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [22:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 16/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [22:00:00 16/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [22:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [22:00:00 16/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 16/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [22:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [22:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [22:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [22:00:00 16/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [22:00:00 16/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 16/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 162 rs: Manual st: NotStopd
t0: [22:00:00 16/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [22:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [22:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [22:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [22:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [22:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml
t0: [22:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 16/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.022 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [22:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [22:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:19:00 16/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.11 rs: Final st: NotStopd t0: [23:00:00 16/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [23:00:00 16/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 16/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [23:00:00 16/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 16/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 16/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 16/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 16/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 16/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 16/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [23:00:00 16/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:00:00 16/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [23:00:00 16/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 16/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 149 u1: kg st: NotStopd t0: [23:00:00 16/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 16/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 16/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 16/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [23:00:00 16/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [23:00:00 16/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 16/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [23:00:00 16/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [23:00:00 16/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [23:00:00 16/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [23:00:00 16/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [23:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [23:00:00 16/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [23:00:00 16/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [23:00:00 16/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 16/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 16/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [23:00:00 16/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 16/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [23:00:00 16/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [23:00:00 16/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [23:00:00 16/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [23:00:00 16/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [23:00:00 16/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [23:00:00 16/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [23:00:00 16/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [23:00:00 16/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [23:00:00 16/11/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 10.8 u1: L/min st: NotStopd t0: [23:00:00 16/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [23:00:00 16/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [23:00:00 16/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [23:00:00 16/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [23:00:00 16/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 506 u1: ml/B st: NotStopd t0: [23:00:00 16/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [23:00:00 16/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [23:00:00 16/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [23:00:00 16/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [23:00:00 16/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [23:00:00 16/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [23:00:00 16/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd
t0: [20:00:00 16/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 16/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:00:00 16/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [22:00:00 16/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:19:00 16/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd t0: [22:19:00 16/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd t0: [00:00:00 17/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [00:00:00 17/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 17/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 17/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [00:00:00 17/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [00:00:00 17/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 17/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [00:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 17/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 17/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 17/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 17/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 17/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 17/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 17/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 17/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 17/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 17/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 17/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [00:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 17/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 17/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 17/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [00:00:00 17/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [00:00:00 17/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [00:00:00 17/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 17/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 17/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 17/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [00:00:00 17/11/2016] id: Inc Cleansing #1 el: 0 cu: CSRU cg: RN v1: Betadine st: NotStopd t0: [00:00:00 17/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 17/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v2: Clean and Dry st: NotStopd t0: [00:00:00 17/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 17/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 17/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [00:00:00 17/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Reinforced st: NotStopd t0: [00:00:00 17/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 17/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 17/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 17/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 17/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 17/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Exp Wheeze st: NotStopd t0: [00:00:00 17/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 17/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 17/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 17/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [00:00:00 17/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [00:00:00 17/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 17/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [00:00:00 17/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [00:00:00 17/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 17/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [00:00:00 17/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 17/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [00:00:00 17/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [00:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [00:00:00 17/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 17/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 17/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [00:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 17/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [00:00:00 17/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [00:00:00 17/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [00:00:00 17/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 17/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 17/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 17/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [00:00:00 17/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [00:00:00 17/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 17/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 17/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [00:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [00:00:00 17/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 17/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 17/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 17/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 17/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 17/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 17/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 17/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 17/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 17/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 17/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 17/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [00:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [00:00:00 17/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [00:00:00 17/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 17/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 17/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 17/11/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.81784 u1: m2 st: NotStopd t0: [00:00:00 17/11/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 2.10502 u1: m2 st: NotStopd t0: [00:00:00 17/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 17/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/11/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [00:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 17/11/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [00:00:00 17/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [00:00:00 17/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [00:00:00 17/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 17/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [01:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [01:00:00 17/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.30686 u1: ... st: NotStopd t0: [01:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [01:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 17/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.47495 u1: kg x m st: NotStopd t0: [01:00:00 17/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.98556 u1: ... st: NotStopd t0: [01:00:00 17/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [01:00:00 17/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [01:00:00 17/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 65.1168 u1: g * m st: NotStopd t0: [01:00:00 17/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.4657 u1: g*m/m2 st: NotStopd t0: [01:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [01:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [01:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [01:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [01:00:00 17/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [01:00:00 17/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [01:00:00 17/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [01:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 17/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.4368 u1: ... st: NotStopd t0: [01:00:00 17/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 588.419 u1: ... st: NotStopd t0: [01:00:00 17/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1627.71 u1: ... st: NotStopd t0: [01:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 17/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 76.0714 u1: ml st: NotStopd t0: [01:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [01:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [01:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 17/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.39 u1: L/min st: NotStopd
t0: [21:00:00 16/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [22:00:00 16/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml nb: 1 t0: [23:00:00 16/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [00:00:00 17/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [00:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [00:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 17/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [00:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [00:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [00:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [00:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml t0: [01:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [01:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [01:00:00 17/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml nb: 1 t0: [01:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml nb: 1 t0: [01:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [01:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml nb: 1 t0: [01:00:00 17/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [01:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 210 vu: ml
t0: [00:00:00 17/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [00:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 17/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [01:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 16/11/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN pv: 0 cv: 20 ap: none t0: [23:00:00 17/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 280 ap: none
t0: [02:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [02:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [02:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [02:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [02:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [02:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [02:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [02:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [02:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 17/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [02:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [02:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [02:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [02:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [02:00:00 17/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [02:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 17/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [02:00:00 17/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [02:00:00 17/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 17/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 17/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 17/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [02:00:00 17/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [02:00:00 17/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 17/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [03:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [03:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [03:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [03:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [03:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [03:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [03:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [03:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 17/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 142 rs: Manual st: NotStopd
t0: [03:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [03:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [03:00:00 17/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [03:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [03:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [03:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [03:00:00 17/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [03:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [03:00:00 17/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:11:00 17/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [03:11:00 17/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [03:11:00 17/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [03:11:00 17/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 35 rs: Final st: NotStopd t0: [03:11:00 17/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [03:11:00 17/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 154 u1: mmHg rs: Final st: NotStopd t0: [03:11:00 17/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [03:11:00 17/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.08 rs: Final st: NotStopd t0: [03:11:00 17/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd
t0: [03:00:00 17/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9.2 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 9.2 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.4 u1: % rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.9 u1: gm/dl rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 304 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.26 u1: /mic l rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9.2 rs: Final st: NotStopd
t0: [03:00:00 17/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 56.2 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 56.2 rs: Final st: NotStopd
t0: [03:00:00 17/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.1 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.1 u1: mEq/L rs: Final st: NotStopd
t0: [03:00:00 17/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 146 rs: Final st: NotStopd
t0: [05:00:00 17/11/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 66.1578 u1: units st: NotStopd t0: [05:00:00 17/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [05:00:00 17/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [05:00:00 17/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 17/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:00:00 17/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:00:00 17/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [05:00:00 17/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.2 u1: cmH2O st: NotStopd t0: [05:00:00 17/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [05:00:00 17/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 17/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [05:00:00 17/11/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 66.1578 u1: units st: NotStopd t0: [05:00:00 17/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [05:00:00 17/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [05:00:00 17/11/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [05:00:00 17/11/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.393 u1: L st: NotStopd t0: [05:00:00 17/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 533 u1: ml/B st: NotStopd t0: [05:00:00 17/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 17/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [05:00:00 17/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd
t0: [00:00:00 17/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [00:00:00 17/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [00:00:00 17/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [00:00:00 17/11/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [03:00:00 17/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: RN v1: 1.1 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 4.1 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.1 rs: Final st: NotStopd t0: [03:00:00 17/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.1 rs: Final st: NotStopd t0: [04:00:00 17/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 17/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 17/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 17/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [04:00:00 17/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [04:00:00 17/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 17/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [04:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 17/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 17/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 17/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 17/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 17/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [04:00:00 17/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [04:00:00 17/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [04:00:00 17/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 17/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [04:00:00 17/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 17/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 17/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 17/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 17/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 17/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 17/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [04:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 17/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 17/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 17/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [04:00:00 17/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [04:00:00 17/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [04:00:00 17/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 17/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 17/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 17/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 17/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 17/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v2: Clean and Dry st: NotStopd t0: [04:00:00 17/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 17/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 17/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 17/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 17/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 17/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 17/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 17/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 17/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 17/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 17/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 17/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 17/11/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [04:00:00 17/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 17/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [04:00:00 17/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [04:00:00 17/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [04:00:00 17/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [04:00:00 17/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [04:00:00 17/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 17/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [04:00:00 17/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Both Legs st: NotStopd t0: [04:00:00 17/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [04:00:00 17/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Dull st: NotStopd t0: [04:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 17/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 17/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 17/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [04:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 17/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [04:00:00 17/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [04:00:00 17/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [04:00:00 17/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 17/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 17/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [04:00:00 17/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [04:00:00 17/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 17/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [04:00:00 17/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 17/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 17/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 17/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 17/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 17/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 17/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 17/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 17/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 17/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 17/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 17/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [04:00:00 17/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [04:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [04:00:00 17/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [04:00:00 17/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 17/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 17/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 17/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 17/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 17/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [04:00:00 17/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [04:00:00 17/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 17/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [05:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [05:00:00 17/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.8556 u1: ... st: NotStopd t0: [05:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [05:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 17/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.31517 u1: kg x m st: NotStopd t0: [05:00:00 17/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.63538 u1: ... st: NotStopd t0: [05:00:00 17/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 79.5328 u1: g * m st: NotStopd t0: [05:00:00 17/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.8809 u1: g*m/m2 st: NotStopd t0: [05:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [05:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [05:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [05:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [05:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 17/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 31.0469 u1: ... st: NotStopd t0: [05:00:00 17/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 495.575 u1: ... st: NotStopd t0: [05:00:00 17/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1370.63 u1: ... st: NotStopd t0: [05:00:00 17/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 85.9783 u1: ml st: NotStopd t0: [05:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [05:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [05:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 17/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.91 u1: L/min st: NotStopd
t0: [04:00:00 17/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [04:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml nb: 1 t0: [04:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 17/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [04:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [04:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [04:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [04:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [05:00:00 17/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [05:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [05:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [05:00:00 17/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [05:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [05:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [05:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [05:00:00 17/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [05:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [04:00:00 17/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [04:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 17/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 8 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [05:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 17/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [06:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [06:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 17/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [06:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 17/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 17/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 17/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [06:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [06:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 17/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 17/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [06:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [06:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 17/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [06:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [06:00:00 17/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [06:00:00 17/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 17/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [07:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [07:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [07:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [07:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [07:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [07:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [07:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [07:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [07:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 17/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [06:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [06:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 17/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [06:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [06:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 4 vu: ml t0: [06:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [06:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml t0: [07:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [07:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [07:00:00 17/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [07:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [07:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [07:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [07:00:00 17/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [07:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [06:00:00 17/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [06:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 17/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [07:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/11/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: none
t0: [08:00:00 17/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 17/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 17/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 17/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 9-Severe-Worst st: NotStopd t0: [08:00:00 17/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 17/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [08:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [08:00:00 17/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.76895 u1: ... st: NotStopd t0: [08:00:00 17/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 17/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 17/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [08:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 17/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 17/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Anxiety st: NotStopd t0: [08:00:00 17/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [08:00:00 17/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [08:00:00 17/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [08:00:00 17/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [08:00:00 17/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 17/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 17/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 17/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 17/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 17/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 17/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 17/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [08:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 17/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 17/11/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 17/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [08:00:00 17/11/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [08:00:00 17/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 17/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 17/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 17/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 17/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 17/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 17/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v2: Clean and Dry st: NotStopd t0: [08:00:00 17/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 17/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 17/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 17/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 17/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [08:00:00 17/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 17/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 17/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.30184 u1: kg x m st: NotStopd t0: [08:00:00 17/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.63538 u1: ... st: NotStopd t0: [08:00:00 17/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 17/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 17/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 17/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 17/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 92.344 u1: g * m st: NotStopd t0: [08:00:00 17/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.213 u1: g*m/m2 st: NotStopd t0: [08:00:00 17/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 17/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 17/11/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [08:00:00 17/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 17/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 17/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [08:00:00 17/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [08:00:00 17/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [08:00:00 17/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [08:00:00 17/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 17/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 17/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [08:00:00 17/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 9-Severe-Worst st: NotStopd t0: [08:00:00 17/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [08:00:00 17/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [08:00:00 17/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Throbbing st: NotStopd t0: [08:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [08:00:00 17/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 17/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 17/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 17/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [08:00:00 17/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 17/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 17/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 17/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [08:00:00 17/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [08:00:00 17/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 17/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [08:00:00 17/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 17/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 17/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 17/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 17/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 17/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 17/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 17/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 17/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.0181 u1: ... st: NotStopd t0: [08:00:00 17/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 490.222 u1: ... st: NotStopd t0: [08:00:00 17/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1357.4 u1: ... st: NotStopd t0: [08:00:00 17/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 17/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 17/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 17/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 17/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 17/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 17/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 97.0886 u1: ml st: NotStopd t0: [08:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [08:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [08:00:00 17/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [08:00:00 17/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [08:00:00 17/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [08:00:00 17/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [08:00:00 17/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 17/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 17/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 17/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [08:00:00 17/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 17/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [08:00:00 17/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 17/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 17/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 17/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 17/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 17/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 17/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.67 u1: L/min st: NotStopd t0: [08:00:00 17/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: None st: NotStopd
t0: [08:00:00 17/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [08:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [08:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [08:00:00 17/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [08:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [08:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [08:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [08:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [08:00:00 17/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [08:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 17/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [09:00:00 17/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [09:00:00 17/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [09:00:00 17/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [09:00:00 17/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 17/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [09:00:00 17/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [09:00:00 17/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [09:00:00 17/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [09:00:00 17/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.5 u1: L/min st: NotStopd t0: [09:00:00 17/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 17/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [09:00:00 17/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [09:00:00 17/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 17/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 465 u1: ml/B st: NotStopd t0: [09:00:00 17/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [09:00:00 17/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [09:00:00 17/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [09:00:00 17/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [09:00:00 17/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [09:00:00 17/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [09:00:00 17/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [08:00:00 17/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 17/11/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [09:00:00 17/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [09:00:00 17/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [09:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [09:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [09:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [09:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [09:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [09:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [09:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [09:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [09:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [09:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 17/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [09:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [09:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [09:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [09:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [09:00:00 17/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [09:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:24:00 17/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [09:24:00 17/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [09:24:00 17/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [09:24:00 17/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd
t0: [09:24:00 17/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 193 rs: Final st: NotStopd t0: [09:24:00 17/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 193 rs: Final st: NotStopd t0: [09:24:00 17/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.11 rs: Final st: NotStopd t0: [10:00:00 17/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 7-Mod to Severe st: NotStopd t0: [10:00:00 17/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 17/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [10:00:00 17/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [10:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [10:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 17/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [10:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 17/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 17/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 17/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [10:00:00 17/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [10:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [10:00:00 17/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [10:00:00 17/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 7-Mod to Severe st: NotStopd t0: [10:00:00 17/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [10:00:00 17/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [10:00:00 17/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Throbbing st: NotStopd t0: [10:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [10:00:00 17/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [10:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 17/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 17/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [10:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [10:00:00 17/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [10:00:00 17/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [10:00:00 17/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [10:00:00 17/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [10:00:00 17/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [10:00:00 17/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [10:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 17/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [10:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [10:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [10:00:00 17/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [10:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [10:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [10:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [10:00:00 17/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [10:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:04:00 17/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [09:04:00 17/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [09:04:00 17/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 54 rs: Final st: NotStopd t0: [09:04:00 17/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [09:04:00 17/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [09:04:00 17/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 54 rs: Final st: NotStopd
t0: [09:04:00 17/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [09:04:00 17/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd
id: Propofol el: 300 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ra: 21.81 ru: ml/hr
t0: [11:00:00 17/11/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
tf: [12:00:00 17/11/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg m2: Soln. v2: 100 u2: ml tf: [12:00:00 17/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Midazolam HCl v1: 2-4 u1: mg tf: [12:00:00 17/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Vecuronium Bromide v1: 10 u1: mg
id: N/A el: 3 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [08:00:00 17/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [08:00:00 17/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [10:00:00 17/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [10:00:00 17/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [10:00:00 17/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 17/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [10:00:00 17/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Intermittent st: NotStopd t0: [10:00:00 17/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [10:00:00 17/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [10:00:00 17/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [10:00:00 17/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [10:00:00 17/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 17/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 17/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd t0: [10:30:00 17/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:30:00 17/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Grimace Scale st: NotStopd t0: [10:30:00 17/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [10:30:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:30:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [10:30:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:30:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:30:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:30:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [10:30:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 17/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [10:30:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [10:30:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:30:00 17/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [10:30:00 17/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [10:30:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [10:30:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:30:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [10:30:00 17/11/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: TEE st: NotStopd t0: [10:30:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:30:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [10:30:00 17/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [10:30:00 17/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [10:30:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:30:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [10:30:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [10:30:00 17/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [10:30:00 17/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [10:30:00 17/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [10:30:00 17/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [10:30:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:45:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:45:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [10:45:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:45:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:45:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:45:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:45:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [10:45:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:45:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [10:45:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:45:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [10:45:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:45:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [10:45:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:45:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [10:45:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:45:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [10:45:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [10:45:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [11:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [11:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [11:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [11:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [11:00:00 17/11/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Chest Tube D/C st: NotStopd t0: [11:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [11:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [11:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:15:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:15:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [11:15:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:15:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:15:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:15:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [11:15:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:15:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [11:15:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [11:15:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [11:15:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:15:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [11:15:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [11:15:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:15:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:15:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [11:15:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [11:15:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 17/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 17/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 17/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 17/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 17/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [12:00:00 17/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 17/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 17/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Altered LOC st: NotStopd t0: [12:00:00 17/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Given st: NotStopd t0: [12:00:00 17/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient/Sig Othr st: NotStopd t0: [12:00:00 17/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [12:00:00 17/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [12:00:00 17/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 17/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 17/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 17/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 17/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 17/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 17/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 17/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 17/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v2: Clean and Dry st: NotStopd t0: [12:00:00 17/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 17/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 17/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 17/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 17/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 17/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 17/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 17/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 17/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 17/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 17/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 17/11/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [12:00:00 17/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 17/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [12:00:00 17/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 17/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Wires DC'd st: NotStopd t0: [12:00:00 17/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 17/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 17/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 17/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [12:00:00 17/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [12:00:00 17/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 17/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 17/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 17/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 17/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Hydrogel/Vigilon st: NotStopd t0: [12:00:00 17/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 17/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [12:00:00 17/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [12:00:00 17/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 17/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 17/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 17/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 17/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 17/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 17/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 17/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 17/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 17/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 17/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 17/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 17/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 17/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 17/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 17/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 17/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 17/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [12:00:00 17/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 17/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 17/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [12:00:00 17/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 17/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 17/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 17/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 11 u1: number st: NotStopd t0: [12:00:00 17/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 17/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: None st: NotStopd
t0: [11:00:00 17/11/2016] tf: [15:00:00 19/11/2016] dt: 3120 id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vu: ml st: Stopped t0: [10:00:00 17/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Small t0: [10:00:00 17/11/2016] id: Gastric Oral Gastric el: 1 cu: CSRU cg: RN vo: 85 vu: ml t0: [10:15:00 17/11/2016] tf: [14:00:00 17/11/2016] dt: 225 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 126 vo: 30 vu: ml t0: [11:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [11:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [11:00:00 17/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [11:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [11:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [11:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [11:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [12:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [12:00:00 17/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 126 vo: 15.267 vu: ml t0: [12:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [12:00:00 17/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [12:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [12:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [12:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [12:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [10:30:00 17/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 17/11/2016] tf: [12:00:00 17/11/2016] dt: 60 id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:30:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [10:30:00 17/11/2016] tf: [12:00:00 17/11/2016] dt: 90 id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:30:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:45:00 17/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:45:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:45:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [10:45:00 17/11/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:45:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 17/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 17/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.025 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [11:00:00 17/11/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:15:00 17/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:15:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:15:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [11:15:00 17/11/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:15:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/11/2016] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 85 ap: none
t0: [12:01:00 17/11/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:01:00 17/11/2016] id: Pacemaker Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:01:00 17/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [09:24:00 17/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 4 rs: Final st: NotStopd t0: [09:24:00 17/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4 rs: Final st: NotStopd t0: [10:00:00 17/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 17/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [12:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:00:00 17/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 17/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [12:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 17/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 17/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [12:00:00 17/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [12:00:00 17/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 46 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [12:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [12:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [12:00:00 17/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [12:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 17/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 17/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 17/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [12:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [12:00:00 17/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [12:00:00 17/11/2016] id: Trach Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [12:00:00 17/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [12:00:00 17/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [12:00:00 17/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 17/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [12:00:00 17/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 17/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 17/11/2016] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [12:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 17/11/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped t0: [12:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 17/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [10:00:00 17/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [10:00:00 17/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [10:00:00 17/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [10:00:00 17/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [10:00:00 17/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd
t0: [12:30:00 17/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [12:30:00 17/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:30:00 17/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:30:00 17/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:30:00 17/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:30:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [12:30:00 17/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:30:00 17/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [12:30:00 17/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [12:30:00 17/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:30:00 17/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
tf: [08:00:00 18/11/2016] pt: IV Piggyback rt: IV fr: INFUSION m1: Milrinone v1: 20 u1: mg m2: D5W v2: 100 u2: ml tf: [17:00:00 21/11/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Furosemide v1: 100 u1: mg m2: D5W v2: 50 u2: ml tf: [10:00:00 23/11/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Furosemide v1: 200 u1: mg m2: D5W v2: 100 u2: ml tf: [19:00:00 28/11/2016] pt: Unit Dose rt: PO fr: PRN m1: Potassium Chloride v1: 40 u1: mEq
t0: [13:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [13:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [13:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [13:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [13:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [13:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [13:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [13:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [13:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [13:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 17/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 126 vu: ml t0: [13:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [13:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [13:00:00 17/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [13:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [13:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [13:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [13:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [13:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 17/11/2016] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 17/11/2016] id: CT #2 Suction Amount el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 17/11/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 17/11/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 17/11/2016] id: CT #2 Drainage el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [14:00:00 17/11/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: -1 ai: 126 vo: 0 st: D/C'd t0: [14:00:00 17/11/2016] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 210 vo: 0 st: D/C'd
t0: [12:00:00 17/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 17/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 17/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [14:00:00 17/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [14:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [14:00:00 17/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.30686 u1: ... st: NotStopd t0: [14:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [14:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 17/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [14:00:00 17/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.90947 u1: kg x m st: NotStopd t0: [14:00:00 17/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.12996 u1: ... st: NotStopd t0: [14:00:00 17/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 68.4352 u1: g * m st: NotStopd t0: [14:00:00 17/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.5487 u1: g*m/m2 st: NotStopd t0: [14:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [14:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:00:00 17/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [14:00:00 17/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [14:00:00 17/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [14:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [14:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [14:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [14:00:00 17/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 26.7148 u1: ... st: NotStopd t0: [14:00:00 17/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 625.978 u1: ... st: NotStopd t0: [14:00:00 17/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1731.6 u1: ... st: NotStopd t0: [14:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 17/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 17/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [14:00:00 17/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 74.3023 u1: ml st: NotStopd t0: [14:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [14:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [14:00:00 17/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [14:00:00 17/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [14:00:00 17/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [14:00:00 17/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [14:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 17/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.39 u1: L/min st: NotStopd t0: [15:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [15:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [15:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [15:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [15:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [15:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [15:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [15:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [14:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [14:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [14:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [15:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [15:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [15:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [15:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [15:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml
t0: [12:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [13:00:00 17/11/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 du: mgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [13:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [14:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:40:00 17/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [14:40:00 17/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [14:40:00 17/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [14:40:00 17/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 35 rs: Final st: NotStopd t0: [14:40:00 17/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 54 u1: mmHg rs: Final st: NotStopd t0: [14:40:00 17/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 103 u1: mmHg rs: Final st: NotStopd t0: [14:40:00 17/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [14:40:00 17/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd
t0: [14:00:00 17/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [14:00:00 17/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [14:00:00 17/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 17/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [14:00:00 17/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 17/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [14:00:00 17/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [14:00:00 17/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [14:00:00 17/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [14:00:00 17/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 17/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [14:00:00 17/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 17/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [14:00:00 17/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 17/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [14:00:00 17/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [14:00:00 17/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [14:00:00 17/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [14:00:00 17/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [14:00:00 17/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 17/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 17/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 17/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [14:00:00 17/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 17/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 17/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [14:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml t0: [15:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [10:00:00 17/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [12:00:00 17/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 17/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [14:00:00 17/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [14:00:00 17/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 17/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 17/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [14:00:00 17/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 17/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [14:00:00 17/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [14:00:00 17/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 17/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [14:00:00 17/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 17/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 17/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 17/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [14:00:00 17/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 17/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 17/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 17/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown st: NotStopd t0: [14:00:00 17/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [14:00:00 17/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [14:00:00 17/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 17/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 17/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [14:40:00 17/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 131 rs: Final st: NotStopd t0: [14:40:00 17/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 131 rs: Final st: NotStopd t0: [14:40:00 17/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.11 rs: Final st: NotStopd
t0: [15:15:00 17/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [15:15:00 17/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [15:15:00 17/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [15:15:00 17/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [15:15:00 17/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:15:00 17/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:15:00 17/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [15:15:00 17/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [15:15:00 17/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [15:15:00 17/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8 u1: L/min st: NotStopd t0: [15:15:00 17/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:15:00 17/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [15:15:00 17/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [15:15:00 17/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:15:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [15:15:00 17/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [15:15:00 17/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [15:15:00 17/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [15:15:00 17/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [15:15:00 17/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [15:15:00 17/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [15:15:00 17/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [15:15:00 17/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [14:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [15:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip
t0: [12:00:00 17/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [14:00:00 17/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 17/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 17/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [16:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [16:00:00 17/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 17/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 17/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 17/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 17/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 17/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [16:00:00 17/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [16:00:00 17/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [16:00:00 17/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [16:00:00 17/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 17/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 17/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 17/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 17/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 17/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 17/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 17/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [16:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 17/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 17/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 17/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 17/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [16:00:00 17/11/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [16:00:00 17/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 17/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 17/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 17/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 17/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 17/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [16:00:00 17/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 17/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v2: Clean and Dry st: NotStopd t0: [16:00:00 17/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 17/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 17/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 17/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [16:00:00 17/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 17/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 17/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 17/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 17/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 17/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 17/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 17/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 17/11/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [16:00:00 17/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 17/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [16:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:00:00 17/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [16:00:00 17/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v2: Repositioned st: NotStopd t0: [16:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [16:00:00 17/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [16:00:00 17/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 17/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 17/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [16:00:00 17/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: No st: NotStopd t0: [16:00:00 17/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [16:00:00 17/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 17/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 17/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 17/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 17/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 17/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [16:00:00 17/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [16:00:00 17/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 17/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [16:00:00 17/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 17/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 17/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 17/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 17/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [16:00:00 17/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 17/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 17/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 17/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 17/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 17/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 17/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 17/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [16:00:00 17/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 17/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 17/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [16:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [16:00:00 17/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [16:00:00 17/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [16:00:00 17/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [16:00:00 17/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [16:00:00 17/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 17/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 17/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 17/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [16:00:00 17/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 17/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 17/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [16:00:00 17/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [16:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [16:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [16:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [16:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [16:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [16:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [16:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [16:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 17/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 0 st: D/C'd
t0: [17:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [17:00:00 17/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.59206 u1: ... st: NotStopd t0: [17:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [17:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 17/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.00714 u1: kg x m st: NotStopd t0: [17:00:00 17/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.88809 u1: ... st: NotStopd t0: [17:00:00 17/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 92.5616 u1: g * m st: NotStopd t0: [17:00:00 17/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.574 u1: g*m/m2 st: NotStopd t0: [17:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [17:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [17:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [17:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:00:00 17/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 29.9639 u1: ... st: NotStopd t0: [17:00:00 17/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 690.808 u1: ... st: NotStopd t0: [17:00:00 17/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1915.06 u1: ... st: NotStopd t0: [17:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 17/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 82.5287 u1: ml st: NotStopd t0: [17:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [17:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [17:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 17/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.18 u1: L/min st: NotStopd t0: [18:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [18:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [18:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 52 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [18:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [18:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [18:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [18:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [18:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 17/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [17:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [17:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [17:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [17:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [17:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [17:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [18:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [18:00:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [18:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [18:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [18:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [18:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [17:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [17:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [18:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 17/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [18:00:00 17/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 17/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 17/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 17/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 17/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [18:00:00 17/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [18:00:00 17/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 17/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 17/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [18:00:00 17/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 17/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [18:00:00 17/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [18:00:00 17/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [18:00:00 17/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [18:00:00 17/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [18:00:00 17/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [18:00:00 17/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 17/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [18:00:00 17/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 17/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 121 rs: Manual st: NotStopd
t0: [18:00:00 17/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Medium
t0: [19:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [19:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [19:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [19:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [19:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [19:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [19:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [19:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [19:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [19:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 17/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 17/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [20:00:00 17/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 17/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 17/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 17/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 17/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 17/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [20:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 17/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 17/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 17/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [20:00:00 17/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [20:00:00 17/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 17/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 17/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 17/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 17/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 17/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 17/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 17/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 17/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [20:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 17/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [20:00:00 17/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [20:00:00 17/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: SC Inject st: NotStopd t0: [20:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [20:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 17/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [20:00:00 17/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 17/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [20:00:00 17/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 17/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 17/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 17/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 17/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 17/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 17/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 17/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [20:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [20:00:00 17/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 17/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 17/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 17/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [19:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [19:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [19:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [19:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [20:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [20:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [20:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [20:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [20:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [19:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [19:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [20:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:20:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:20:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [20:20:00 17/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.62455 u1: ... st: NotStopd t0: [20:20:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:20:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:20:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:20:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:20:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 126 u1: BPM st: NotStopd t0: [20:20:00 17/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.30525 u1: kg x m st: NotStopd t0: [20:20:00 17/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.99639 u1: ... st: NotStopd t0: [20:20:00 17/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 66.2592 u1: g * m st: NotStopd t0: [20:20:00 17/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.8267 u1: g*m/m2 st: NotStopd t0: [20:20:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [20:20:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [20:20:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [20:20:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:20:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [20:20:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:20:00 17/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 20.9386 u1: ... st: NotStopd t0: [20:20:00 17/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 693.26 u1: ... st: NotStopd t0: [20:20:00 17/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1923.66 u1: ... st: NotStopd t0: [20:20:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:20:00 17/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.6984 u1: ml st: NotStopd t0: [20:20:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:20:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [20:20:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [20:20:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:20:00 17/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.27 u1: L/min st: NotStopd
t0: [20:20:00 17/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 30 vu: ml
t0: [20:20:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:20:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [20:20:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:20:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd
t0: [20:45:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:45:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [20:45:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:45:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:45:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:45:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:45:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [20:45:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:45:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [20:45:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [20:45:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [20:45:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:45:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [20:45:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [20:45:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:45:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [20:45:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [20:45:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:45:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:45:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [20:45:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 17/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [21:00:00 17/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [21:00:00 17/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [21:00:00 17/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [21:00:00 17/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:00:00 17/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [21:00:00 17/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [21:00:00 17/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [21:00:00 17/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [21:00:00 17/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9 u1: L/min st: NotStopd t0: [21:00:00 17/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 17/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [21:00:00 17/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [21:00:00 17/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [21:00:00 17/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [21:00:00 17/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [21:00:00 17/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [21:00:00 17/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [21:00:00 17/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [21:00:00 17/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [21:00:00 17/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [21:00:00 17/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd
tf: [08:00:00 18/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Amiodarone HCl v1: 150 u1: mg tf: [08:00:00 18/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm tf: [08:00:00 18/11/2016] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 21 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [21:15:00 17/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:15:00 17/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [21:15:00 17/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [21:15:00 17/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [21:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [21:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [21:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [21:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [21:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [21:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [21:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [22:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [22:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [22:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [22:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [22:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [22:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [22:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 34 vu: ml t0: [22:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 10.905 vu: ml t0: [22:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [22:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 170 vu: ml t0: [22:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml
t0: [21:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [21:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [22:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [09:00:00 24/11/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Amiodarone HCl v1: 400 u1: mg
t0: [23:02:00 17/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [23:02:00 17/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [23:02:00 17/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 37 rs: Final st: NotStopd t0: [23:02:00 17/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [23:02:00 17/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 139 u1: mmHg rs: Final st: NotStopd t0: [23:02:00 17/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd
t0: [23:02:00 17/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 150 rs: Final st: NotStopd t0: [23:02:00 17/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [23:02:00 17/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 150 rs: Final st: NotStopd t0: [23:02:00 17/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.14 rs: Final st: NotStopd t0: [23:02:00 17/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd
t0: [23:00:00 17/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 17/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [23:00:00 17/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 17/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 17/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 17/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 17/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [23:00:00 17/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 17/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:00:00 17/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [23:00:00 17/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [23:00:00 17/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [23:00:00 17/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [23:00:00 17/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 17/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [23:00:00 17/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 17/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 17/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 17/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [23:00:00 17/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [23:00:00 17/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 17/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [23:00:00 17/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [23:00:00 17/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [23:00:00 17/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [23:00:00 17/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [23:00:00 17/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Medium t0: [23:00:00 17/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 230 vu: ml
t0: [23:00:00 17/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 17/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [23:00:00 17/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 230 cv: 230 ap: estimateVol t0: [23:00:00 17/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -67.5475 cv: -67.5475 ap: estimateVol t0: [23:00:00 17/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 77.4525 cv: 2335.91 ap: none t0: [23:00:00 17/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 162.452 cv: 4570.91 ap: none t0: [23:00:00 17/11/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: estimateVol t0: [23:00:00 17/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 85 cv: 1955 ap: none t0: [23:00:00 17/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 230 cv: 5160 ap: none t0: [23:00:00 17/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -67.5475 cv: -674.085 ap: estimateVol t0: [23:00:00 17/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 230 cv: 5245 ap: estimateVol t0: [23:00:00 17/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -67.5475 cv: 3602.55 ap: estimateVol
t0: [00:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [00:00:00 18/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [00:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [00:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml
t0: [00:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [00:00:00 18/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.6426 u1: ... st: NotStopd t0: [00:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 18/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [00:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 18/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.16774 u1: kg x m st: NotStopd t0: [00:00:00 18/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.59928 u1: ... st: NotStopd t0: [00:00:00 18/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 91.0656 u1: g * m st: NotStopd t0: [00:00:00 18/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 32.852 u1: g*m/m2 st: NotStopd t0: [00:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [00:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [00:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 18/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.574 u1: ... st: NotStopd t0: [00:00:00 18/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 546.448 u1: ... st: NotStopd t0: [00:00:00 18/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1515.15 u1: ... st: NotStopd t0: [00:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 18/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 92.6582 u1: ml st: NotStopd t0: [00:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [00:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [00:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 18/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.32 u1: L/min st: NotStopd
t0: [00:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 30 vu: ml t0: [00:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 230 vu: ml
t0: [00:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 18/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [00:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 17/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 17/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 17/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 17/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 17/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 17/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [22:00:00 17/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 17/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 17/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 17/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 17/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 17/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [22:00:00 17/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [22:00:00 17/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 18/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 18/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 18/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [00:00:00 18/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 18/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 18/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 18/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 18/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 18/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 18/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [00:00:00 18/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [00:00:00 18/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 18/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 18/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 18/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 18/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 18/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 18/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 18/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 18/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 18/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 18/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 18/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [00:00:00 18/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [00:00:00 18/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: SC Inject st: NotStopd t0: [00:00:00 18/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [00:00:00 18/11/2016] id: PressSore Drng/Amt#1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 18/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 18/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 18/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 18/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 18/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 18/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 18/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 18/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 18/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 18/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 18/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 18/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [00:00:00 18/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 18/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 18/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 18/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 18/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [00:00:00 18/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [00:00:00 18/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [00:00:00 18/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [00:00:00 18/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [00:00:00 18/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 18/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 18/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 18/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [00:00:00 18/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.3 u1: cmH2O st: NotStopd t0: [00:00:00 18/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [00:00:00 18/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 18/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:00:00 18/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [00:00:00 18/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 18/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [00:00:00 18/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 18/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 495 u1: ml/B st: NotStopd t0: [00:00:00 18/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 18/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 18/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 18/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 18/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 18/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [00:00:00 18/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 60 u1: cmH2O st: NotStopd
t0: [01:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [01:00:00 18/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 18/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 18/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [01:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [01:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 18/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [01:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [01:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [01:00:00 18/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [01:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [01:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [01:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [01:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [01:00:00 18/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [01:00:00 18/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [01:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [01:00:00 18/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [01:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [01:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [01:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [01:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 18/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [01:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [02:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 18/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [02:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [02:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [02:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [02:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [02:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 18/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [02:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [02:00:00 18/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [02:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [02:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [02:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [02:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 18/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [02:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 18/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 540 ap: none
t0: [03:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [03:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 18/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [03:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [03:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [03:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [03:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [03:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [03:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [03:00:00 18/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [03:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [03:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [03:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [03:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 18/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:43:00 18/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [03:43:00 18/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [03:43:00 18/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 36 rs: Final st: NotStopd t0: [03:43:00 18/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 56 u1: mmHg rs: Final st: NotStopd t0: [03:43:00 18/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 166 u1: mmHg rs: Final st: NotStopd t0: [03:43:00 18/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [03:43:00 18/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd
t0: [04:00:00 18/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 18/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [04:00:00 18/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 18/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 18/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 18/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 18/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 18/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 18/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 18/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 18/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 18/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 18/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 18/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 18/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [04:00:00 18/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 18/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 18/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 18/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 18/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 18/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 18/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [04:00:00 18/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 18/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 18/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 18/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 18/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [04:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 25 vu: ml t0: [04:00:00 18/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [04:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [04:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [04:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [03:56:00 18/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.3 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 10.3 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.3 u1: % rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9 u1: gm/dl rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 282 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.25 u1: /mic l rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.3 rs: Final st: NotStopd
t0: [03:56:00 18/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 53.9 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 53.9 rs: Final st: NotStopd
t0: [04:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [04:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 18/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [04:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [04:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [04:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [04:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [04:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [04:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [04:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [05:00:00 18/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml t0: [05:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [05:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml
t0: [04:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 18/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [04:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:40:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:40:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [04:40:00 18/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.14801 u1: ... st: NotStopd t0: [04:40:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:40:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:40:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [04:40:00 18/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.58348 u1: kg x m st: NotStopd t0: [04:40:00 18/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.02166 u1: ... st: NotStopd t0: [04:40:00 18/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 73.1952 u1: g * m st: NotStopd t0: [04:40:00 18/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.3538 u1: g*m/m2 st: NotStopd t0: [04:40:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [04:40:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:40:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [04:40:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:40:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [04:40:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:40:00 18/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.1588 u1: ... st: NotStopd t0: [04:40:00 18/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 699.16 u1: ... st: NotStopd t0: [04:40:00 18/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1934.88 u1: ... st: NotStopd t0: [04:40:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [04:40:00 18/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 78.2895 u1: ml st: NotStopd t0: [04:40:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [04:40:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [04:40:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:40:00 18/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.95 u1: L/min st: NotStopd
t0: [04:40:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:40:00 18/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [04:40:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:56:00 18/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 171 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 171 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [03:56:00 18/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [05:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [05:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 18/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [05:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 52 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [05:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [05:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [05:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [05:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [05:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [05:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml
t0: [05:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 18/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [05:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [06:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 18/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [06:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [06:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [06:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [06:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [06:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [06:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [06:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [06:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [06:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [06:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml
t0: [06:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 18/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [06:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:30:00 18/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 146 rs: Manual st: NotStopd t0: [06:30:00 18/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 146 rs: Manual st: NotStopd
t0: [06:40:00 18/11/2016] id: Milrinone el: 1 cu: CSRU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 100 su: ml rt: IV Drip st: Stopped
t0: [07:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [07:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 18/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [07:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [07:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [07:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [07:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [07:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [07:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [07:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [07:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [07:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml
t0: [07:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [08:00:00 18/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.29964 u1: ... st: NotStopd t0: [08:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [08:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 18/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.95546 u1: kg x m st: NotStopd t0: [08:00:00 18/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.88809 u1: ... st: NotStopd t0: [08:00:00 18/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 101.837 u1: g * m st: NotStopd t0: [08:00:00 18/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.8231 u1: g*m/m2 st: NotStopd t0: [08:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [08:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [08:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 18/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 42.2383 u1: ... st: NotStopd t0: [08:00:00 18/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 411.379 u1: ... st: NotStopd t0: [08:00:00 18/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1139.39 u1: ... st: NotStopd t0: [08:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 18/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 117.179 u1: ml st: NotStopd t0: [08:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [08:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [08:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 18/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 9.14 u1: L/min st: NotStopd
t0: [07:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml t0: [08:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [08:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [08:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [08:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [08:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 350 vu: ml
t0: [08:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 18/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 18/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 18/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 18/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [08:00:00 18/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: SC Inject st: NotStopd
t0: [08:00:00 18/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [08:00:00 18/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 18/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 18/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 18/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [08:00:00 18/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 18/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 18/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 18/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [08:00:00 18/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [08:00:00 18/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [08:00:00 18/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [08:00:00 18/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd
t0: [08:00:00 18/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 18/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 18/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Other st: NotStopd t0: [08:00:00 18/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v2: Carafate st: NotStopd t0: [08:00:00 18/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 18/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 18/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [08:00:00 18/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [08:00:00 18/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [08:00:00 18/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [08:00:00 18/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 18/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 18/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 18/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 18/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 18/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 18/11/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 18/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 18/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [08:00:00 18/11/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [08:00:00 18/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 18/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 18/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 18/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 18/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [08:00:00 18/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 18/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 18/11/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN st: NotStopd t0: [08:00:00 18/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 18/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 18/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 18/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 18/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 18/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 18/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 18/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 18/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 18/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 18/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 18/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 18/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 18/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 18/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 18/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 18/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 18/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 18/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 18/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 18/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 18/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 18/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [08:00:00 18/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 18/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 18/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [08:00:00 18/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 18/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 18/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [08:00:00 18/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 18/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 18/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 18/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 18/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [09:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [09:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 18/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [09:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [09:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [09:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [09:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [09:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [09:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [09:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [09:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [09:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [09:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 190 vu: ml
t0: [09:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:15:00 18/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [09:15:00 18/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [09:15:00 18/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [09:15:00 18/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [09:15:00 18/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:15:00 18/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [09:15:00 18/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [09:15:00 18/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [09:15:00 18/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [09:15:00 18/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [09:15:00 18/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:15:00 18/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [09:15:00 18/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [09:15:00 18/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:15:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [09:15:00 18/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [09:15:00 18/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [09:15:00 18/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [09:15:00 18/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [09:15:00 18/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [09:15:00 18/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [09:15:00 18/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [09:15:00 18/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd
tf: [21:00:00 19/11/2016] pt: IV Piggyback rt: IV fr: Q6H fs: 4, 10, 16, 22 dn: 4 m1: Acetazolamide Sodium v1: 500 u1: mg m2: D5W v2: 25 u2: ml
t0: [10:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [10:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 18/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [10:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [10:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [10:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [10:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [10:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [10:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [10:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [10:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [10:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [10:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 230 vu: ml
t0: [10:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:20:00 18/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [10:20:00 18/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [10:20:00 18/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [10:20:00 18/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [10:20:00 18/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 145 u1: mmHg rs: Final st: NotStopd t0: [10:20:00 18/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd
t0: [10:20:00 18/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.2683 u1: ml/dl st: NotStopd t0: [10:20:00 18/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 171 rs: Final st: NotStopd t0: [10:20:00 18/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 171 rs: Final st: NotStopd t0: [10:20:00 18/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [10:00:00 18/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [10:00:00 18/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [10:00:00 18/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [10:00:00 18/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [10:00:00 18/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [10:00:00 18/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [10:00:00 18/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [10:20:00 18/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.09 rs: Final st: NotStopd
t0: [10:20:00 18/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.3 rs: Final st: NotStopd t0: [10:20:00 18/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.3 rs: Final st: NotStopd t0: [11:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [11:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 18/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [11:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [11:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [11:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [11:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [11:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [11:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [11:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [11:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [11:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [11:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 18/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [08:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [08:00:00 18/11/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.81921 u1: m2 st: NotStopd t0: [08:00:00 18/11/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 2.10652 u1: m2 st: NotStopd t0: [08:00:00 18/11/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [08:00:00 18/11/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [09:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [10:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [11:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [12:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [12:00:00 18/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.96751 u1: ... st: NotStopd t0: [12:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [12:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 18/11/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 18/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.50232 u1: kg x m st: NotStopd t0: [12:00:00 18/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.4296 u1: ... st: NotStopd t0: [12:00:00 18/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 128.316 u1: g * m st: NotStopd t0: [12:00:00 18/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 46.2094 u1: g*m/m2 st: NotStopd t0: [12:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [12:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [12:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [12:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 18/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 146.6 u1: kg st: NotStopd t0: [12:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [12:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 18/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 40.0722 u1: ... st: NotStopd t0: [12:00:00 18/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 642.336 u1: ... st: NotStopd t0: [12:00:00 18/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1777.78 u1: ... st: NotStopd t0: [12:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 18/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 111.081 u1: ml st: NotStopd t0: [12:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [12:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [12:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 18/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.22 u1: L/min st: NotStopd
t0: [08:00:00 18/11/2016] tf: [08:00:00 22/11/2016] dt: 5760 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 60 vu: ml t0: [12:00:00 18/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 0 st: D/C'd t0: [12:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [12:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [12:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [12:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [12:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 350 vu: ml
t0: [12:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 18/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [10:00:00 18/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 18/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [10:00:00 18/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [10:00:00 18/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Other st: NotStopd t0: [10:00:00 18/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [10:00:00 18/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v2: Carafate st: NotStopd t0: [10:00:00 18/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 18/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [10:00:00 18/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 18/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 18/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [10:00:00 18/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [10:00:00 18/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [10:00:00 18/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [10:00:00 18/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 18/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 18/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [10:00:00 18/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [10:00:00 18/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 18/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [10:00:00 18/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 18/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [10:00:00 18/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 18/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 18/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 18/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 18/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [10:00:00 18/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 18/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [10:00:00 18/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 18/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 18/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [10:00:00 18/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 18/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 18/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [10:00:00 18/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 18/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 18/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [10:00:00 18/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 18/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [10:00:00 18/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [10:00:00 18/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [10:00:00 18/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [10:00:00 18/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 18/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 18/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 18/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [10:00:00 18/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 18/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 18/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 18/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 18/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 18/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 18/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 18/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 18/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 18/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [12:00:00 18/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient/Family st: NotStopd t0: [12:00:00 18/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [12:00:00 18/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 18/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [12:00:00 18/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 18/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 18/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 18/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 18/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 18/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 18/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 18/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 18/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 18/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [12:00:00 18/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [12:00:00 18/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 18/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 18/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 18/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 18/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 18/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 18/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 18/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 18/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 18/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 18/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 18/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 18/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 18/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 18/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [12:00:00 18/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 18/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 18/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 18/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 18/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 18/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 18/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 18/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 18/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 18/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 18/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 18/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 18/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 18/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [12:00:00 18/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 18/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 18/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [12:00:00 18/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 18/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 18/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 18/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 18/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 18/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [12:00:00 18/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [12:00:00 18/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 18/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [12:00:00 18/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [12:00:00 18/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [12:00:00 18/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [12:00:00 18/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd
t0: [13:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [13:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 18/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [13:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [13:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [13:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [13:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [13:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [13:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [13:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 18/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 30 vu: ml t0: [12:00:00 18/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 50 vu: ml t0: [13:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [13:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [13:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [13:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [13:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 475 vu: ml
t0: [13:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [14:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 18/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [14:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [14:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [14:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [14:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [14:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [14:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 18/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vo: 5.4525 vu: ml st: Stopped t0: [07:00:00 18/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vu: ml t0: [08:00:00 18/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vu: ml t0: [09:00:00 18/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vu: ml t0: [10:00:00 18/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vu: ml t0: [11:00:00 18/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vu: ml t0: [12:00:00 18/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vu: ml t0: [13:00:00 18/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: RN ai: 210 vu: ml t0: [14:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [14:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [14:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [14:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [14:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [14:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 18/11/2016] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CSRU cg: -1 ai: 210 vo: 0 st: D/C'd
t0: [15:00:00 18/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [15:00:00 18/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [15:00:00 18/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [15:00:00 18/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [15:00:00 18/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Trach Mask st: NotStopd t0: [15:00:00 18/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 12 u1: lpm st: NotStopd t0: [15:00:00 18/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [15:00:00 18/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [15:00:00 18/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [15:00:00 18/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [15:00:00 18/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd
t0: [15:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [15:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 18/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [15:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [15:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [15:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [15:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [15:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [15:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [15:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [15:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [15:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [15:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [15:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:41:00 18/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [15:41:00 18/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.2156 u1: ml/dl st: NotStopd t0: [15:41:00 18/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 174 rs: Final st: NotStopd t0: [15:41:00 18/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [15:41:00 18/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 35 rs: Final st: NotStopd t0: [15:41:00 18/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [15:41:00 18/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 128 u1: mmHg rs: Final st: NotStopd t0: [15:41:00 18/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [15:41:00 18/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 174 rs: Final st: NotStopd t0: [15:41:00 18/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.14 rs: Final st: NotStopd t0: [15:41:00 18/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [08:00:00 18/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 18/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 18/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 18/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [10:00:00 18/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 18/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [10:00:00 18/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [10:00:00 18/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 18/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 18/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 18/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 18/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 18/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [12:00:00 18/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 18/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 18/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 18/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [12:00:00 18/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 18/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [12:00:00 18/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 18/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 18/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [12:00:00 18/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 18/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [12:00:00 18/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [12:00:00 18/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 134 rs: Manual st: NotStopd t0: [14:00:00 18/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [14:00:00 18/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 18/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [14:00:00 18/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [14:00:00 18/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Other st: NotStopd t0: [14:00:00 18/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [14:00:00 18/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 18/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [14:00:00 18/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [14:00:00 18/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient/Family st: NotStopd t0: [14:00:00 18/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [14:00:00 18/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 18/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [14:00:00 18/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [14:00:00 18/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 18/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [14:00:00 18/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [14:00:00 18/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [14:00:00 18/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [14:00:00 18/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [14:00:00 18/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 18/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 18/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [14:00:00 18/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 18/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [14:00:00 18/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [14:00:00 18/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 18/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 18/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 18/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 18/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [14:00:00 18/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [14:00:00 18/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [14:00:00 18/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [14:00:00 18/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [14:00:00 18/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [14:00:00 18/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 18/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [14:00:00 18/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 18/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [14:00:00 18/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 18/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 18/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 18/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 18/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [14:00:00 18/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: SC Inject st: NotStopd t0: [14:00:00 18/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [14:00:00 18/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 18/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [14:00:00 18/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [14:00:00 18/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [14:00:00 18/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [14:00:00 18/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [14:00:00 18/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [14:00:00 18/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [14:00:00 18/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 18/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [14:00:00 18/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [14:00:00 18/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [14:00:00 18/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 18/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [14:00:00 18/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 18/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 18/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [14:00:00 18/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 18/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 18/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [14:00:00 18/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 18/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [14:00:00 18/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [14:00:00 18/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [14:00:00 18/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 18/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 18/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 18/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [14:00:00 18/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [14:00:00 18/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [15:41:00 18/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd t0: [15:41:00 18/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd
t0: [15:41:00 18/11/2016] id: DO2 el: 0 cu: CSRU cg: RN v1: 916.8 u1: ml/min st: NotStopd t0: [15:41:00 18/11/2016] id: DO2I el: 0 cu: CSRU cg: RN v1: 331.2 u1: ml/m/m st: NotStopd t0: [15:41:00 18/11/2016] id: zzO2AV el: 0 cu: CSRU cg: RN v1: 916.8 u1: ml/min st: NotStopd t0: [15:41:00 18/11/2016] id: zzO2AVI el: 0 cu: CSRU cg: RN v1: 331.047 u1: ml/m/m st: NotStopd t0: [15:41:00 18/11/2016] id: O2AV el: 0 cu: CSRU cg: RN v1: 916.8 u1: ml/min st: NotStopd t0: [15:41:00 18/11/2016] id: O2AVI el: 0 cu: CSRU cg: RN v1: 331.047 u1: ml/m/m st: NotStopd t0: [16:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [16:00:00 18/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.75812 u1: ... st: NotStopd t0: [16:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 18/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 18/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 18/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [16:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 18/11/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.7928 u1: kg x m st: NotStopd t0: [16:00:00 18/11/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.81588 u1: ... st: NotStopd t0: [16:00:00 18/11/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 94.86 u1: g * m st: NotStopd t0: [16:00:00 18/11/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 34.296 u1: g*m/m2 st: NotStopd t0: [16:00:00 18/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 18/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 18/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [16:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [16:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [16:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [16:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [16:00:00 18/11/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.574 u1: ... st: NotStopd t0: [16:00:00 18/11/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 617.801 u1: ... st: NotStopd t0: [16:00:00 18/11/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1710.14 u1: ... st: NotStopd t0: [16:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 18/11/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 93.1707 u1: ml st: NotStopd t0: [16:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [16:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [16:00:00 18/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 18/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.64 u1: L/min st: NotStopd
t0: [16:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [16:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [16:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [16:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [16:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 255 vu: ml
t0: [16:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [17:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 18/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [17:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [17:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [17:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [17:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [17:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 18/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 20 vu: ml t0: [16:00:00 18/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 15 vu: ml t0: [17:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [17:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [17:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [17:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [17:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml
t0: [17:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 18/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 18/11/2016] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [16:00:00 18/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 18/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 18/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [16:00:00 18/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [16:00:00 18/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 18/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 18/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 18/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 18/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [16:00:00 18/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [16:00:00 18/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [16:00:00 18/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [16:00:00 18/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 18/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Cramping st: NotStopd t0: [16:00:00 18/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [16:00:00 18/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 18/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 18/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 18/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 18/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [16:00:00 18/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [16:00:00 18/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [16:00:00 18/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [16:00:00 18/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [16:00:00 18/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [17:00:00 18/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [17:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [17:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd
t0: [18:00:00 18/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [18:00:00 18/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [18:00:00 18/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [18:00:00 18/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [18:00:00 18/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Trach Mask st: NotStopd t0: [18:00:00 18/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 12 u1: lpm st: NotStopd t0: [18:00:00 18/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [18:00:00 18/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [18:00:00 18/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [18:00:00 18/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [18:00:00 18/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [18:00:00 18/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [12:00:00 18/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 18/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [12:00:00 18/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 18/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 18/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 18/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 11 u1: number st: NotStopd t0: [12:00:00 18/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 18/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 18/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 18/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 18/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 18/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 18/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 18/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 18/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 18/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 18/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 18/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [16:00:00 18/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [16:00:00 18/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 18/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 18/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 18/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 18/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 18/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 18/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 18/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 18/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 18/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 18/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 18/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 18/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 18/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 18/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 18/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 18/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [16:00:00 18/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 18/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [16:00:00 18/11/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [16:00:00 18/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 18/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 18/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 18/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [18:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [18:00:00 18/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [18:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 18/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 18/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 18/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Anxiety st: NotStopd t0: [18:00:00 18/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [18:00:00 18/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [18:00:00 18/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [18:00:00 18/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 18/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [18:00:00 18/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Disease Process st: NotStopd t0: [18:00:00 18/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [18:00:00 18/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [18:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 18/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 18/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [18:00:00 18/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [18:00:00 18/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [18:00:00 18/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [18:00:00 18/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [18:00:00 18/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [18:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [18:00:00 18/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [18:00:00 18/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 18/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [18:00:00 18/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [18:00:00 18/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [18:00:00 18/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [18:00:00 18/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [18:00:00 18/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [18:00:00 18/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [18:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 41 u1: BPM st: NotStopd t0: [18:00:00 18/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [18:00:00 18/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [18:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [18:00:00 18/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [18:00:00 18/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [18:00:00 18/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 18/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Apprehensive st: NotStopd
t0: [18:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [18:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [18:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [18:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [18:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 290 vu: ml
t0: [18:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:50:00 18/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [18:50:00 18/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [18:50:00 18/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [18:50:00 18/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [18:50:00 18/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [18:50:00 18/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [18:50:00 18/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [18:50:00 18/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [18:50:00 18/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [18:50:00 18/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [18:50:00 18/11/2016] id: Pause Time % el: 0 cu: CSRU cg: RRT v1: 0% st: NotStopd t0: [18:50:00 18/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [18:50:00 18/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [18:50:00 18/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [18:50:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [18:50:00 18/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [18:50:00 18/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [18:50:00 18/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [18:50:00 18/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [18:50:00 18/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [18:50:00 18/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [18:50:00 18/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [18:50:00 18/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd
t0: [18:52:00 18/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [18:52:00 18/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [18:52:00 18/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [18:52:00 18/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [18:52:00 18/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 156 u1: mmHg rs: Final st: NotStopd t0: [18:52:00 18/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd
t0: [18:52:00 18/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.3024 u1: ml/dl st: NotStopd t0: [18:52:00 18/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [19:00:00 18/11/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 18/11/2016] id: SVR el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 18/11/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 18/11/2016] id: Temperature C el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 18/11/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [19:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [19:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [19:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 18/11/2016] id: PAP S/D el: 0 cu: CSRU cg: RN u1: mmHg u2: mmHg st: NotStopd t0: [19:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [19:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [19:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [19:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [19:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [19:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [19:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [19:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [19:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 275 vu: ml
t0: [19:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 18/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [18:00:00 18/11/2016] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [18:00:00 18/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 18/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [18:00:00 18/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [18:00:00 18/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [18:00:00 18/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 18/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 18/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [18:00:00 18/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 18/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [18:00:00 18/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [18:00:00 18/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [18:00:00 18/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [18:00:00 18/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 18/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [18:00:00 18/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 18/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [18:00:00 18/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [18:00:00 18/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [18:00:00 18/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 18/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 18/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [18:00:00 18/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 18/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [18:00:00 18/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 18/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [18:00:00 18/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 18/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 18/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 18/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 18/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Cramping st: NotStopd t0: [18:00:00 18/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [18:00:00 18/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [18:00:00 18/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [18:00:00 18/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [18:00:00 18/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 18/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [18:00:00 18/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 18/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 18/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [18:00:00 18/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [18:00:00 18/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [18:00:00 18/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 18/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [18:00:00 18/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [19:00:00 18/11/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Line Cultured st: NotStopd
t0: [20:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [20:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [20:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [20:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [20:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [20:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [20:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [20:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [20:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 225 vu: ml
t0: [20:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 18/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [21:00:00 18/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [21:00:00 18/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [21:00:00 18/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 35 u1: decFrc st: NotStopd t0: [21:00:00 18/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 18/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [21:00:00 18/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [21:00:00 18/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [21:00:00 18/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.1 u1: cmH2O st: NotStopd t0: [21:00:00 18/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.4 u1: L/min st: NotStopd t0: [21:00:00 18/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Trach Mask st: NotStopd t0: [21:00:00 18/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 12 u1: lpm st: NotStopd t0: [21:00:00 18/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 18/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [21:00:00 18/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [21:00:00 18/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [21:00:00 18/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [21:00:00 18/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 18/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 574 u1: ml/B st: NotStopd t0: [21:00:00 18/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [21:00:00 18/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [21:00:00 18/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [21:00:00 18/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [21:00:00 18/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [21:00:00 18/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [21:00:00 18/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
tf: [20:00:00 19/11/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 21 dn: 1 m1: Propofol (Generic) v1: 10 u1: mg m2: Soln. v2: 100 u2: ml
t0: [21:40:00 18/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [21:40:00 18/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [21:40:00 18/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [21:40:00 18/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [21:40:00 18/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [21:40:00 18/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [21:40:00 18/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd
t0: [18:52:00 18/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 141 rs: Final st: NotStopd t0: [18:52:00 18/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 4.3 rs: Final st: NotStopd t0: [18:52:00 18/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 141 rs: Final st: NotStopd t0: [18:52:00 18/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.04 rs: Final st: NotStopd t0: [18:52:00 18/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.3 rs: Final st: NotStopd t0: [21:00:00 18/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [21:00:00 18/11/2016] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [21:00:00 18/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 18/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [21:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 18/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 18/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [21:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 18/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 18/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [21:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 18/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 18/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [21:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:00:00 18/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [21:00:00 18/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [21:00:00 18/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [21:00:00 18/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: SC Inject st: NotStopd t0: [21:00:00 18/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 18/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 18/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [21:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 18/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [21:00:00 18/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 18/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 18/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [22:00:00 18/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [22:00:00 18/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [22:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 18/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [22:00:00 18/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [22:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 18/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 18/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [22:00:00 18/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [22:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 18/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Anxiety st: NotStopd t0: [22:00:00 18/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [22:00:00 18/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [22:00:00 18/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [22:00:00 18/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 18/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [22:00:00 18/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Disease Process st: NotStopd t0: [22:00:00 18/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 18/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [22:00:00 18/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [22:00:00 18/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [22:00:00 18/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [22:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [22:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 18/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 18/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [22:00:00 18/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 18/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [22:00:00 18/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [22:00:00 18/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [22:00:00 18/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 18/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 18/11/2016] id: Inc Cleansing #1 el: 0 cu: CSRU cg: RN v1: Normal Saline st: NotStopd t0: [22:00:00 18/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [22:00:00 18/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [22:00:00 18/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [22:00:00 18/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [22:00:00 18/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [22:00:00 18/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [22:00:00 18/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 18/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [22:00:00 18/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 18/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [22:00:00 18/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 18/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [22:00:00 18/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [22:00:00 18/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 18/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [22:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 18/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [22:00:00 18/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [22:00:00 18/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [22:00:00 18/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [22:00:00 18/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [22:00:00 18/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [22:00:00 18/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [22:00:00 18/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [22:00:00 18/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [22:00:00 18/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 18/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [22:00:00 18/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 18/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 18/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [22:00:00 18/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 18/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 18/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [22:00:00 18/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 18/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [22:00:00 18/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [22:00:00 18/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:00:00 18/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [22:00:00 18/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [22:00:00 18/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [22:00:00 18/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [22:00:00 18/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [22:00:00 18/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [22:00:00 18/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [22:00:00 18/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [22:00:00 18/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [22:00:00 18/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [22:00:00 18/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 18/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 18/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [22:00:00 18/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [22:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 18/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [22:00:00 18/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [21:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml t0: [22:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 34 vu: ml t0: [22:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [22:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 170 vu: ml t0: [22:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [21:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 18/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd
t0: [23:00:00 18/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [23:00:00 18/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 18/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [23:00:00 18/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 18/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 18/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 18/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 18/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 18/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [23:00:00 18/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 18/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [23:00:00 18/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [23:00:00 18/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [23:00:00 18/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [23:00:00 18/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [23:00:00 18/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 18/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [23:00:00 18/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 18/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 18/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [23:00:00 18/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [23:00:00 18/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [23:00:00 18/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [23:00:00 18/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [23:00:00 18/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [23:00:00 18/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 18/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [23:00:00 18/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [23:00:00 18/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [23:00:00 18/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [23:00:00 18/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [23:00:00 18/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 18/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 18/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 300 cv: 300 ap: none t0: [23:00:00 18/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -138 cv: -138 ap: none t0: [23:00:00 18/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 77 cv: 1419.17 ap: none t0: [23:00:00 18/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 162 cv: 3999.17 ap: none t0: [23:00:00 18/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 85 cv: 2040 ap: none t0: [23:00:00 18/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 300 cv: 6530 ap: none t0: [23:00:00 18/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -138 cv: -2530.83 ap: none t0: [23:00:00 18/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 300 cv: 6530 ap: none t0: [23:00:00 18/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -138 cv: 1071.72 ap: carryForward
t0: [00:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [00:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 19/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 19/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [00:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [00:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [00:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [00:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [00:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [00:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [00:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [00:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:25:00 19/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [01:25:00 19/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [01:25:00 19/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [01:25:00 19/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 35 u1: decFrc st: NotStopd t0: [01:25:00 19/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:25:00 19/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [01:25:00 19/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [01:25:00 19/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [01:25:00 19/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.5 u1: cmH2O st: NotStopd t0: [01:25:00 19/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.5 u1: L/min st: NotStopd t0: [01:25:00 19/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:25:00 19/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [01:25:00 19/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [01:25:00 19/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [01:25:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [01:25:00 19/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 623 u1: ml/B st: NotStopd t0: [01:25:00 19/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [01:25:00 19/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [01:25:00 19/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [01:25:00 19/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [01:25:00 19/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [01:25:00 19/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [01:25:00 19/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [01:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [01:00:00 19/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [01:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 19/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 19/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [01:00:00 19/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 19/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [01:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [01:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 19/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [01:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [01:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [01:00:00 19/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [01:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 19/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [01:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [01:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [01:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [01:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [01:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 19/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN pv: 60 cv: 770 ap: none
t0: [02:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [02:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 19/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 19/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [02:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [02:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [02:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [03:00:00 19/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [03:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 19/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 19/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [03:00:00 19/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 19/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [03:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [03:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 19/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [03:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 253 u1: mmHg st: NotStopd t0: [03:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [03:00:00 19/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [03:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 19/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [02:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [02:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [02:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [02:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml t0: [03:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [03:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [03:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [03:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [03:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 250 vu: ml
t0: [02:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:45:00 19/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [03:45:00 19/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 163 rs: Final st: NotStopd t0: [03:45:00 19/11/2016] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [03:45:00 19/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.3 rs: Final st: NotStopd t0: [03:45:00 19/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [03:45:00 19/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [03:45:00 19/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 35 rs: Final st: NotStopd t0: [03:45:00 19/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [03:45:00 19/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 167 u1: mmHg rs: Final st: NotStopd t0: [03:45:00 19/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [03:45:00 19/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 163 rs: Final st: NotStopd t0: [03:45:00 19/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.12 rs: Final st: NotStopd t0: [03:45:00 19/11/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [03:45:00 19/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.3 rs: Final st: NotStopd t0: [03:45:00 19/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd
t0: [03:10:00 19/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 13.3 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 13.3 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30.4 u1: % rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 357 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.35 u1: /mic l rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 13.3 rs: Final st: NotStopd
t0: [03:10:00 19/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 49.9 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 49.9 rs: Final st: NotStopd
t0: [04:45:00 19/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [04:45:00 19/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 35 u1: decFrc st: NotStopd t0: [04:45:00 19/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:45:00 19/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:45:00 19/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:45:00 19/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [04:45:00 19/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.5 u1: cmH2O st: NotStopd t0: [04:45:00 19/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.5 u1: L/min st: NotStopd t0: [04:45:00 19/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:45:00 19/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [04:45:00 19/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:45:00 19/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [04:45:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:45:00 19/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [04:45:00 19/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:45:00 19/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [04:45:00 19/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:45:00 19/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [04:45:00 19/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [04:45:00 19/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [04:45:00 19/11/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 65 u1: units st: NotStopd t0: [04:45:00 19/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [04:45:00 19/11/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 65 u1: units st: NotStopd t0: [04:45:00 19/11/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [04:45:00 19/11/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.4 u1: L st: NotStopd t0: [04:45:00 19/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:45:00 19/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [04:45:00 19/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [04:45:00 19/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd
t0: [04:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [04:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 19/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 19/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 19/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [04:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [04:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [04:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [05:00:00 19/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [05:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 19/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 19/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 19/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 19/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 19/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [05:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [05:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 19/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 19/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 19/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [05:00:00 19/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [05:00:00 19/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [05:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 19/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 19/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [05:00:00 19/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [04:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [04:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [04:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [04:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [05:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [05:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [05:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [05:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [05:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 250 vu: ml
t0: [04:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:10:00 19/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 145 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.1 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 145 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.1 rs: Final st: NotStopd t0: [03:10:00 19/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd
tf: [05:00:00 20/11/2016] pt: Unit Dose rt: IH fr: STAT fs: 6 m1: Albuterol Inhaler v1: 2 u1: PUFF tf: [19:00:00 28/11/2016] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol Inhaler v1: 1-2 u1: PUFF
t0: [04:00:00 19/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [04:00:00 19/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate st: NotStopd t0: [04:00:00 19/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 19/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 19/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 19/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [04:00:00 19/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 19/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 19/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 19/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 19/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [05:00:00 19/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [05:00:00 19/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [05:00:00 19/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [05:00:00 19/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Disease Process st: NotStopd t0: [05:00:00 19/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 19/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [05:00:00 19/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [05:00:00 19/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [05:00:00 19/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [05:00:00 19/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [05:00:00 19/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [05:00:00 19/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [05:00:00 19/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [05:00:00 19/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [05:00:00 19/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [05:00:00 19/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [05:00:00 19/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [05:00:00 19/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 19/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [05:00:00 19/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [05:00:00 19/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [05:00:00 19/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [05:00:00 19/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 19/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [05:00:00 19/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Exp Wheeze st: NotStopd t0: [05:00:00 19/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [05:00:00 19/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 19/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 19/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [05:00:00 19/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [05:00:00 19/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [05:00:00 19/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [05:00:00 19/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [05:00:00 19/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Wound Gel st: NotStopd t0: [05:00:00 19/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [05:00:00 19/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [05:00:00 19/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [05:00:00 19/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [05:00:00 19/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [05:00:00 19/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [05:00:00 19/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [05:00:00 19/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 19/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [05:00:00 19/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Exp Wheeze st: NotStopd t0: [05:00:00 19/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [05:00:00 19/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 19/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 19/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [05:00:00 19/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd
t0: [06:15:00 19/11/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [06:15:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd
t0: [23:00:00 18/11/2016] id: Significant Events el: 0 cu: CSRU cg: RN st: NotStopd t0: [02:00:00 19/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [02:00:00 19/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 19/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [02:00:00 19/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [02:00:00 19/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Movement/Turning st: NotStopd t0: [02:00:00 19/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [02:00:00 19/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [02:00:00 19/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: SC Inject st: NotStopd t0: [02:00:00 19/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [03:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 19/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 19/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [06:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 109 u2: mmHg st: NotStopd t0: [06:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg st: NotStopd t0: [06:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [06:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 19/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [06:00:00 19/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [06:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 19/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [07:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [07:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 19/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 19/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [07:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 19/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [07:00:00 19/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [07:00:00 19/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [07:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [07:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [07:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.8 u1: kg st: NotStopd t0: [07:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 19/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [07:00:00 19/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 19/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [07:00:00 19/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [07:00:00 19/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [07:00:00 19/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [07:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 225 vu: ml t0: [07:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 34 vu: ml t0: [07:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [07:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [07:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 170 vu: ml t0: [07:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 250 vu: ml
t0: [06:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 19/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [08:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [08:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 19/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 20 vu: ml t0: [08:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [08:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [08:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [08:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [08:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [08:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 19/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [08:00:00 19/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 19/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [08:00:00 19/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 19/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [08:00:00 19/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [08:00:00 19/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [08:00:00 19/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [08:00:00 19/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [08:00:00 19/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [08:00:00 19/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: SC Inject st: NotStopd t0: [08:00:00 19/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [08:00:00 19/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [08:00:00 19/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [08:00:00 19/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd
t0: [08:00:00 19/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [08:00:00 19/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN st: NotStopd t0: [08:00:00 19/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 19/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 19/11/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 19/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [08:00:00 19/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [08:00:00 19/11/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [08:00:00 19/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 19/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 19/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 19/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 19/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 19/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 19/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [08:00:00 19/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [08:00:00 19/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [08:00:00 19/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 19/11/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [08:00:00 19/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 19/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT st: NotStopd
t0: [08:00:00 19/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 19/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 19/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate st: NotStopd t0: [08:00:00 19/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 19/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 19/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Anxiety st: NotStopd t0: [08:00:00 19/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [08:00:00 19/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [08:00:00 19/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [08:00:00 19/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [08:00:00 19/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Disease Process st: NotStopd t0: [08:00:00 19/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 19/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 19/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 19/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 19/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 19/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 19/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 19/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 19/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 19/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 19/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 19/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 19/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 19/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 19/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 19/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 19/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 19/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 19/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 19/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [08:00:00 19/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [08:00:00 19/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 19/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 19/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 19/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [08:00:00 19/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 19/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 19/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 19/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 19/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 19/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 19/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 19/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 19/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 19/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [08:00:00 19/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 19/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 19/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 19/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 19/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 19/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 19/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Apprehensive st: NotStopd t0: [08:00:00 19/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 19/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 19/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [08:00:00 19/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 19/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 19/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 19/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 19/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [08:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd
t0: [08:00:00 19/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [08:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [08:00:00 19/11/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.81717 u1: m2 st: NotStopd t0: [08:00:00 19/11/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 2.10423 u1: m2 st: NotStopd t0: [08:00:00 19/11/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [08:00:00 19/11/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd
t0: [09:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [09:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [09:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [09:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [09:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [09:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [09:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [09:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [09:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [09:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 250 vu: ml
t0: [09:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [10:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 19/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [10:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [10:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [10:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [10:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [10:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [10:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [10:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 290 vu: ml
t0: [10:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:34:00 19/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [10:34:00 19/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [10:34:00 19/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [10:34:00 19/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 54 u1: mmHg rs: Final st: NotStopd t0: [10:34:00 19/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 190 u1: mmHg rs: Final st: NotStopd t0: [10:34:00 19/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd
t0: [10:34:00 19/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.9264 u1: ml/dl st: NotStopd t0: [10:34:00 19/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 171 rs: Final st: NotStopd t0: [10:34:00 19/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.4 rs: Final st: NotStopd t0: [10:34:00 19/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 171 rs: Final st: NotStopd t0: [10:34:00 19/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.12 rs: Final st: NotStopd t0: [10:34:00 19/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.4 rs: Final st: NotStopd t0: [10:34:00 19/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [09:00:00 19/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Clear v2: Thin st: NotStopd t0: [09:00:00 19/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 19/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [10:00:00 19/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [10:00:00 19/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [10:00:00 19/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [10:00:00 19/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [10:00:00 19/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Clear v2: Thin st: NotStopd t0: [10:00:00 19/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 19/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [10:00:00 19/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [10:00:00 19/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [11:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [11:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [11:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [11:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [11:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [11:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [11:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [11:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [11:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [11:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 19/11/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [10:00:00 19/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [10:00:00 19/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 19/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [10:00:00 19/11/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [10:00:00 19/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 19/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [10:00:00 19/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 19/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 19/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 19/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 19/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 19/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [10:00:00 19/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [10:00:00 19/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Both Legs st: NotStopd t0: [10:00:00 19/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [10:00:00 19/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [10:00:00 19/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [10:00:00 19/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 19/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [10:00:00 19/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [08:00:00 19/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [10:00:00 19/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [10:00:00 19/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [10:00:00 19/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [10:00:00 19/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 19/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [10:00:00 19/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Anxiety st: NotStopd t0: [10:00:00 19/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [10:00:00 19/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [10:00:00 19/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [10:00:00 19/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 19/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [10:00:00 19/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [10:00:00 19/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 19/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [10:00:00 19/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [10:00:00 19/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [10:00:00 19/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 19/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [10:00:00 19/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 19/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [10:00:00 19/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [10:00:00 19/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [10:00:00 19/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 19/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [10:00:00 19/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 19/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [10:00:00 19/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [10:00:00 19/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 19/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [10:00:00 19/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [10:00:00 19/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [10:00:00 19/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 19/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 19/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [10:00:00 19/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 19/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [10:00:00 19/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 19/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 19/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 19/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [10:00:00 19/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [10:00:00 19/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [10:00:00 19/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [10:00:00 19/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [10:00:00 19/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [10:00:00 19/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [10:00:00 19/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [10:00:00 19/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 19/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 19/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [10:00:00 19/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 19/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 19/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [10:00:00 19/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 19/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 19/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [10:00:00 19/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 19/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [10:00:00 19/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [10:00:00 19/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [10:00:00 19/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 19/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 19/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [10:00:00 19/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Apprehensive st: NotStopd t0: [10:00:00 19/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
tf: [11:00:00 20/11/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 12 dn: 1 m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml
t0: [09:00:00 19/11/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [12:00:00 19/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 19/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [12:00:00 19/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 19/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [12:00:00 19/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 19/11/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 19/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [12:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [12:00:00 19/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN st: NotStopd t0: [12:00:00 19/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 19/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 19/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 19/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 19/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 19/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Anxiety st: NotStopd t0: [12:00:00 19/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [12:00:00 19/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [12:00:00 19/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [12:00:00 19/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 19/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [12:00:00 19/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 19/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 19/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 19/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 19/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 19/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 19/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [12:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 19/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 19/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 19/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 19/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [12:00:00 19/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [12:00:00 19/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [12:00:00 19/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 19/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 19/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 19/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 19/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 19/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 19/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 19/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 19/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [12:00:00 19/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 19/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 19/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 19/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 19/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 19/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 19/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 19/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 19/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [12:00:00 19/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [12:00:00 19/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 19/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [12:00:00 19/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [12:00:00 19/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [12:00:00 19/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Both Legs st: NotStopd t0: [12:00:00 19/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [12:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [12:00:00 19/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [12:00:00 19/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 19/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 19/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [12:00:00 19/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [12:00:00 19/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 19/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 19/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 19/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [12:00:00 19/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 19/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [12:00:00 19/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 19/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 19/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 19/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 19/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 19/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 19/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 19/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [12:00:00 19/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 19/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 19/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 19/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Clear v2: Thin st: NotStopd t0: [12:00:00 19/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 19/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 19/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 19/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 19/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [12:00:00 19/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [12:00:00 19/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [12:00:00 19/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [12:00:00 19/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [12:00:00 19/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [12:00:00 19/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 19/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 19/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 19/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Apprehensive st: NotStopd t0: [12:00:00 19/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [12:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [12:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [12:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [12:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [12:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 345 vu: ml
t0: [12:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 19/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 7-Mod to Severe st: NotStopd t0: [13:00:00 19/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 19/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [13:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [13:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 19/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 19/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [13:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [13:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:00:00 19/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [13:00:00 19/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 7-Mod to Severe st: NotStopd t0: [13:00:00 19/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [13:00:00 19/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [13:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [13:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [13:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 38 u1: BPM st: NotStopd t0: [13:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [13:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [13:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [13:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [13:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [13:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 19/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN st: NotStopd t0: [13:00:00 19/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 19/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 19/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [13:00:00 19/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 19/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [13:00:00 19/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 19/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [13:00:00 19/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 19/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 19/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [13:00:00 19/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [13:00:00 19/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [14:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [14:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [14:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [14:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [14:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [14:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [14:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [14:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [14:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 380 vu: ml
t0: [14:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 19/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 7-Mod to Severe st: NotStopd t0: [15:00:00 19/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 19/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [15:00:00 19/11/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [15:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [15:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 19/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [15:00:00 19/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [15:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [15:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [15:00:00 19/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [15:00:00 19/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 7-Mod to Severe st: NotStopd t0: [15:00:00 19/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [15:00:00 19/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: SC Inject st: NotStopd t0: [15:00:00 19/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Cramping st: NotStopd t0: [15:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [15:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [15:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [15:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [15:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [15:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 370 vu: ml
t0: [15:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 19/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [16:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [16:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 19/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [16:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [16:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [16:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [16:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [16:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml st: Stopped t0: [16:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [16:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [16:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [16:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [16:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 19/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 19/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 19/11/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [16:00:00 19/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Trach Mask st: NotStopd t0: [16:00:00 19/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 12 u1: lpm st: NotStopd
t0: [16:41:00 19/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [16:41:00 19/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.6251 u1: ml/dl st: NotStopd t0: [16:41:00 19/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [16:41:00 19/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [16:41:00 19/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 55 u1: mmHg rs: Final st: NotStopd t0: [16:41:00 19/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 133 u1: mmHg rs: Final st: NotStopd t0: [16:41:00 19/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [16:41:00 19/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.18 rs: Final st: NotStopd t0: [16:41:00 19/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [16:00:00 19/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [16:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [17:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 19/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [17:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [17:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [17:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [17:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [17:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [17:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [17:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 19/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [17:00:00 19/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [17:00:00 19/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [17:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [17:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [17:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [17:00:00 19/11/2016] tf: [21:00:00 23/11/2016] dt: 6000 id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 40 vu: ml st: Restart t0: [17:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 310 vu: ml
t0: [17:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:02:00 19/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [16:02:00 19/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd
t0: [12:00:00 19/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [14:00:00 19/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [14:00:00 19/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 19/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [14:00:00 19/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 19/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [14:00:00 19/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [14:00:00 19/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [14:00:00 19/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 19/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 19/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 19/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN st: NotStopd t0: [15:00:00 19/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 19/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 19/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 19/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 19/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [15:00:00 19/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 19/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [15:00:00 19/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 19/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 19/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [15:00:00 19/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 19/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 19/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 19/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 19/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 19/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 19/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Anxiety st: NotStopd t0: [16:00:00 19/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [16:00:00 19/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient/Family st: NotStopd t0: [16:00:00 19/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [16:00:00 19/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 19/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [16:00:00 19/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 19/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 19/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 19/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 19/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 19/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 19/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 19/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 19/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 19/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 19/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [16:00:00 19/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [16:00:00 19/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 19/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 19/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 19/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 19/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 19/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [16:00:00 19/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 19/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 19/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 19/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 19/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 19/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 19/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 19/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 19/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 19/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 19/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 19/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 19/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 19/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [16:00:00 19/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [16:00:00 19/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [16:00:00 19/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 19/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [16:00:00 19/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 19/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [16:00:00 19/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 19/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 19/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 19/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 19/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 19/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 19/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 19/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 19/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 19/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [16:00:00 19/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 19/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 19/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 19/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thin st: NotStopd t0: [16:00:00 19/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 19/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 19/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 19/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 19/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 19/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 19/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Apprehensive st: NotStopd t0: [16:00:00 19/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:41:00 19/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 131 rs: Final st: NotStopd t0: [16:41:00 19/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.9 rs: Final st: NotStopd t0: [16:41:00 19/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 131 rs: Final st: NotStopd t0: [16:41:00 19/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.9 rs: Final st: NotStopd t0: [17:00:00 19/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 19/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [17:00:00 19/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 19/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [17:00:00 19/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [17:00:00 19/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [18:00:00 19/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [18:00:00 19/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [18:00:00 19/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [18:00:00 19/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [18:00:00 19/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 19/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 19/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 19/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [18:00:00 19/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 19/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [18:00:00 19/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [18:00:00 19/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [18:00:00 19/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 19/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 19/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 19/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [18:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 19/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thin st: NotStopd t0: [18:00:00 19/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 19/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [18:00:00 19/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [18:00:00 19/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd
t0: [18:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [18:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [18:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [18:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [18:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 380 vu: ml
t0: [12:00:00 19/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [12:00:00 19/11/2016] id: Inc Cleansing #2 el: 0 cu: CSRU cg: RN v1: Normal Saline st: NotStopd t0: [14:00:00 19/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [14:00:00 19/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [14:00:00 19/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 19/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [14:00:00 19/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 19/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [14:00:00 19/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [14:00:00 19/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [14:00:00 19/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [14:00:00 19/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [14:00:00 19/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 19/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [14:00:00 19/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 19/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [14:00:00 19/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 19/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 19/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 19/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [14:00:00 19/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [14:00:00 19/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [14:00:00 19/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [14:00:00 19/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 19/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [14:00:00 19/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 19/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 19/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [14:00:00 19/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 19/11/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [14:00:00 19/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [14:00:00 19/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 19/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 19/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [14:00:00 19/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [18:00:00 19/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [18:00:00 19/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [18:00:00 19/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [18:00:00 19/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [18:00:00 19/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [18:00:00 19/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [18:00:00 19/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [18:00:00 19/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [18:00:00 19/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT st: NotStopd t0: [18:00:00 19/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT u1: lpm st: NotStopd t0: [18:00:00 19/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [18:00:00 19/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [18:00:00 19/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [18:00:00 19/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [18:00:00 19/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 680 u1: ml/B st: NotStopd t0: [18:00:00 19/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [18:00:00 19/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [18:00:00 19/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [18:00:00 19/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [18:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [18:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 19/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [18:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [18:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [18:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [18:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [18:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [18:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [19:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [19:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [19:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [19:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [19:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [19:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [19:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [19:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [19:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [19:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 450 vu: ml
t0: [19:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 19/11/2016] id: % Inspir. Time el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 19/11/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 19/11/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 19/11/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 19/11/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 19/11/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 19/11/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [21:00:00 19/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [21:00:00 19/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [21:00:00 19/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [21:00:00 19/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [21:00:00 19/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:00:00 19/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [21:00:00 19/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [21:00:00 19/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [21:00:00 19/11/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [21:00:00 19/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [21:00:00 19/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [21:00:00 19/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 19/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [21:00:00 19/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:00:00 19/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [21:00:00 19/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [21:00:00 19/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [21:00:00 19/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [21:00:00 19/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [21:00:00 19/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [21:00:00 19/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [21:00:00 19/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [21:00:00 19/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [20:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [20:00:00 19/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [20:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 19/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 19/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [20:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 19/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [20:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [20:00:00 19/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [20:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 19/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [20:00:00 19/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 19/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [21:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [21:00:00 19/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [21:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 19/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [21:00:00 19/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [21:00:00 19/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 19/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Given st: NotStopd t0: [21:00:00 19/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [21:00:00 19/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [21:00:00 19/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 19/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [21:00:00 19/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [21:00:00 19/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 19/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [21:00:00 19/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [21:00:00 19/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [21:00:00 19/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [21:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 19/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [21:00:00 19/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [21:00:00 19/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [21:00:00 19/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [21:00:00 19/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [21:00:00 19/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [21:00:00 19/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 19/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [21:00:00 19/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [21:00:00 19/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 19/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [21:00:00 19/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 19/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 19/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [21:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [21:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [21:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 19/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [21:00:00 19/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [21:00:00 19/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [21:00:00 19/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [21:00:00 19/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 19/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [21:00:00 19/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [21:00:00 19/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [21:00:00 19/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [21:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [21:00:00 19/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 19/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [21:00:00 19/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [21:00:00 19/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [21:00:00 19/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [21:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [21:00:00 19/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [21:00:00 19/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 19/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [21:00:00 19/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [21:00:00 19/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [21:00:00 19/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [21:00:00 19/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [21:00:00 19/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [21:00:00 19/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [21:00:00 19/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 19/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [21:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 19/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [22:00:00 19/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [22:00:00 19/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 19/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [22:00:00 19/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [22:00:00 19/11/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [22:00:00 19/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [22:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [22:00:00 19/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [22:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 19/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 19/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 19/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 19/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [22:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 19/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 19/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [22:00:00 19/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 19/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [22:00:00 19/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [22:00:00 19/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [22:00:00 19/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 19/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 19/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 19/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 19/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [22:00:00 19/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [22:00:00 19/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 115 u2: mmHg st: NotStopd t0: [22:00:00 19/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [22:00:00 19/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [22:00:00 19/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [22:00:00 19/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: SC Inject st: NotStopd t0: [22:00:00 19/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg st: NotStopd t0: [22:00:00 19/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [22:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [22:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:00:00 19/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 19/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [22:00:00 19/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [22:00:00 19/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [22:00:00 19/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [22:00:00 19/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [22:00:00 19/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [22:00:00 19/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [22:00:00 19/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [22:00:00 19/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [22:00:00 19/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 19/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [22:00:00 19/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [20:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [20:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [20:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [20:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml t0: [21:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [21:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [21:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [21:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [21:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml t0: [22:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [22:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [22:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [22:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [22:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [20:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:48:00 19/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [22:48:00 19/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [22:48:00 19/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.2 rs: Final st: NotStopd t0: [22:48:00 19/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [22:48:00 19/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [22:48:00 19/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [22:48:00 19/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [22:48:00 19/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 147 u1: mmHg rs: Final st: NotStopd t0: [22:48:00 19/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [22:48:00 19/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [22:48:00 19/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.06 rs: Final st: NotStopd t0: [22:48:00 19/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.2 rs: Final st: NotStopd t0: [22:48:00 19/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd
t0: [23:00:00 19/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 19/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [23:00:00 19/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 19/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 19/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 19/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 19/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [23:00:00 19/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 19/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [23:00:00 19/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg st: NotStopd t0: [23:00:00 19/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 19/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [23:00:00 19/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [23:00:00 19/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 19/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 19/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [23:00:00 19/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [23:00:00 19/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [23:00:00 19/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [23:00:00 19/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 225 vu: ml
t0: [23:00:00 19/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 19/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 19/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 225 cv: 225 ap: none t0: [23:00:00 19/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 85 cv: 1910 ap: none t0: [23:00:00 19/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 225 cv: 6935 ap: none t0: [23:00:00 19/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 225 cv: 6935 ap: none
t0: [00:00:00 20/11/2016] id: Pause Time % el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 20/11/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 20/11/2016] id: Plateau Pressure el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [00:00:00 20/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [00:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [00:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 20/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [00:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 20/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [00:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 167 u1: mmHg st: NotStopd t0: [00:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [00:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 20/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [00:00:00 20/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [00:00:00 20/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [00:00:00 20/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [00:00:00 20/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [00:00:00 20/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [00:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 19/11/2016] tf: [15:18:00 28/11/2016] dt: 12498 id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [00:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [00:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [00:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [00:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [00:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [00:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 19/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 97 cv: 97 ap: none t0: [23:00:00 19/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 177 cv: 1498 ap: none t0: [23:00:00 19/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 322 cv: 4178 ap: none t0: [23:00:00 19/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 97 cv: -2757 ap: none t0: [23:00:00 19/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 97 cv: -1685.28 ap: carryForward t0: [23:00:00 20/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 720 ap: none
t0: [00:20:00 20/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [00:20:00 20/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [00:20:00 20/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [00:20:00 20/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [00:20:00 20/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:20:00 20/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:20:00 20/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:20:00 20/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [00:20:00 20/11/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:20:00 20/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:20:00 20/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [00:20:00 20/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:20:00 20/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:20:00 20/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:20:00 20/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:20:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:20:00 20/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:20:00 20/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:20:00 20/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [00:20:00 20/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [00:20:00 20/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [00:20:00 20/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:20:00 20/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [00:20:00 20/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [01:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [01:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [01:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [01:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [01:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [01:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [01:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [01:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [01:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [01:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 225 vu: ml
t0: [01:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [02:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [02:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [02:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [02:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg st: NotStopd t0: [02:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [02:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 20/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [03:00:00 20/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [03:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [03:00:00 20/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [03:00:00 20/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [03:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 20/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [03:00:00 20/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [03:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 20/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Given st: NotStopd t0: [03:00:00 20/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [03:00:00 20/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [03:00:00 20/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 20/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [03:00:00 20/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [03:00:00 20/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [03:00:00 20/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [03:00:00 20/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [03:00:00 20/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [03:00:00 20/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 20/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [03:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [03:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 20/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [03:00:00 20/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [03:00:00 20/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [03:00:00 20/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [03:00:00 20/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [03:00:00 20/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [03:00:00 20/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [03:00:00 20/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [03:00:00 20/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 20/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 20/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 20/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [03:00:00 20/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [03:00:00 20/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [03:00:00 20/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [03:00:00 20/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [03:00:00 20/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [03:00:00 20/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 20/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 20/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [03:00:00 20/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 20/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [03:00:00 20/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 20/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 20/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [03:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [03:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [03:00:00 20/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [03:00:00 20/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [03:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 20/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [03:00:00 20/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [03:00:00 20/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [03:00:00 20/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [03:00:00 20/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 20/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [03:00:00 20/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [03:00:00 20/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [03:00:00 20/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [03:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [03:00:00 20/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 20/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 20/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [03:00:00 20/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 20/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [03:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 20/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [03:00:00 20/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 20/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [03:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 20/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [03:00:00 20/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [03:00:00 20/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [03:00:00 20/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 20/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [03:00:00 20/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 20/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [03:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 20/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [02:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [02:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [02:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [02:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [02:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [03:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [03:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [03:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [03:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [03:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 125 vu: ml
t0: [02:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 20/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 320 cv: 320 ap: none t0: [23:00:00 20/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -208 cv: -208 ap: none t0: [23:00:00 20/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 27 cv: 1398 ap: none t0: [23:00:00 20/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 112 cv: 4158 ap: none t0: [23:00:00 20/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 85 cv: 2040 ap: none t0: [23:00:00 20/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 320 cv: 6745 ap: none t0: [23:00:00 20/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -208 cv: -2587 ap: none t0: [23:00:00 20/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 320 cv: 6745 ap: none t0: [23:00:00 20/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -208 cv: -4272.28 ap: carryForward
t0: [04:00:00 20/11/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [04:00:00 20/11/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [02:47:00 20/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 14.1 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 14.1 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31.9 u1: % rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.6 u1: gm/dl rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 329 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.57 u1: /mic l rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 14.1 rs: Final st: NotStopd
t0: [04:15:00 20/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [04:15:00 20/11/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 75 u1: units st: NotStopd t0: [04:15:00 20/11/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [04:15:00 20/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [04:15:00 20/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 30 u1: decFrc st: NotStopd t0: [04:15:00 20/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:15:00 20/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:15:00 20/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:15:00 20/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [04:15:00 20/11/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:15:00 20/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:15:00 20/11/2016] id: Minimal Leak Present el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [04:15:00 20/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.8 u1: L/min st: NotStopd t0: [04:15:00 20/11/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:15:00 20/11/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [04:15:00 20/11/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 75 u1: units st: NotStopd t0: [04:15:00 20/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:15:00 20/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:15:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:15:00 20/11/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:15:00 20/11/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.32 u1: L st: NotStopd t0: [04:15:00 20/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [04:15:00 20/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:15:00 20/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [04:15:00 20/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [04:15:00 20/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [04:15:00 20/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:15:00 20/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [04:15:00 20/11/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [04:23:00 20/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [04:23:00 20/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 176 rs: Final st: NotStopd t0: [04:23:00 20/11/2016] id: Lactic Acid Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [04:23:00 20/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [04:23:00 20/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [04:23:00 20/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [04:23:00 20/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [04:23:00 20/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [04:23:00 20/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 152 u1: mmHg rs: Final st: NotStopd t0: [04:23:00 20/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [04:23:00 20/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 176 rs: Final st: NotStopd t0: [04:23:00 20/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.16 rs: Final st: NotStopd t0: [04:23:00 20/11/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [04:23:00 20/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [04:23:00 20/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd
t0: [02:47:00 20/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 56.3 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 56.3 rs: Final st: NotStopd
t0: [05:00:00 20/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 20/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Trach Mask st: NotStopd t0: [05:00:00 20/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 15 u1: lpm st: NotStopd t0: [05:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [05:00:00 20/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thin st: NotStopd t0: [05:00:00 20/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [02:47:00 20/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.4 u1: mg/dl rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 159 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.4 u1: mg/dl rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 159 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [02:47:00 20/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd
t0: [04:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 20/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [04:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [04:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [04:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [05:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [05:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [05:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg st: NotStopd t0: [05:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [05:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [04:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [04:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [04:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [04:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 225 vu: ml t0: [05:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [05:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [05:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [05:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [05:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [04:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [05:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [05:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [06:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [06:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [06:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [06:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [06:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg st: NotStopd t0: [06:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [06:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 20/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [06:00:00 20/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [06:00:00 20/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [06:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [06:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [06:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [06:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [06:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [06:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [07:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 20/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [07:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [07:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [07:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [07:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg st: NotStopd t0: [07:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [07:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [07:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [07:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [07:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [07:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 125 vu: ml
t0: [07:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [08:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 20/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [08:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [08:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [08:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [08:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [08:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [08:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [08:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [08:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [08:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [08:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 20/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [08:00:00 20/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [08:00:00 20/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 20/11/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 20/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [08:00:00 20/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN st: NotStopd t0: [08:00:00 20/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 20/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 20/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 20/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 20/11/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 20/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [08:00:00 20/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [08:00:00 20/11/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [08:00:00 20/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 20/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 20/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 20/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [08:00:00 20/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [08:00:00 20/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [08:00:00 20/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [08:00:00 20/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [08:00:00 20/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [08:00:00 20/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Both Legs st: NotStopd t0: [08:00:00 20/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [08:00:00 20/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [08:00:00 20/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 20/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 20/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [08:00:00 20/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 20/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [08:00:00 20/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [08:00:00 20/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [08:00:00 20/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [08:00:00 20/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 20/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd
t0: [08:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [09:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [09:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 20/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [09:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [09:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [09:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [09:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [09:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 20/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 5 vu: ml t0: [09:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [09:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [09:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [09:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [09:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 250 vu: ml
t0: [09:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 20/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 20/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 20/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 20/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 20/11/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Anxiety st: NotStopd t0: [08:00:00 20/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [08:00:00 20/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [08:00:00 20/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [08:00:00 20/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [08:00:00 20/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 20/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 20/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 20/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 20/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 20/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 20/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 20/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 20/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 20/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 20/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 20/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 20/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 20/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 20/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 20/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 20/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 20/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 20/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [08:00:00 20/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 20/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [08:00:00 20/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [08:00:00 20/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 20/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 20/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 20/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [08:00:00 20/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 20/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 20/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 20/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 20/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 20/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 20/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 20/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 20/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 20/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [08:00:00 20/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 20/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 20/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 20/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 20/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 20/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 20/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 20/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 20/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 20/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 20/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [08:00:00 20/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 20/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 20/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 20/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 20/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [09:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [10:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 20/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [10:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [10:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [10:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [10:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [10:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [10:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [10:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [10:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml
t0: [10:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:37:00 20/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [10:37:00 20/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [10:37:00 20/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [10:37:00 20/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [10:37:00 20/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 175 u1: mmHg rs: Final st: NotStopd t0: [10:37:00 20/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd
t0: [10:37:00 20/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.2779 u1: ml/dl st: NotStopd t0: [10:37:00 20/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [10:37:00 20/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.14 rs: Final st: NotStopd t0: [10:37:00 20/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [10:37:00 20/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [11:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [11:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [11:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [11:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [11:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [11:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [11:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [11:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 20/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [11:00:00 20/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [11:00:00 20/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [11:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [11:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [11:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [11:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [11:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [11:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 20/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [10:00:00 20/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 20/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [10:00:00 20/11/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 20/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [10:00:00 20/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [10:00:00 20/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 20/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [10:00:00 20/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 20/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 20/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [10:00:00 20/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [10:00:00 20/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [10:00:00 20/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [10:00:00 20/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 20/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [10:00:00 20/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [10:00:00 20/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Both Legs st: NotStopd t0: [10:00:00 20/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [10:00:00 20/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Supervised st: NotStopd t0: [10:00:00 20/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 20/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [10:00:00 20/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 20/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [10:00:00 20/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [10:00:00 20/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [10:00:00 20/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [10:00:00 20/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 20/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [10:37:00 20/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 183 rs: Final st: NotStopd t0: [10:37:00 20/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 183 rs: Final st: NotStopd
t0: [12:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [12:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 20/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [12:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [12:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [12:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [12:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [12:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [12:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [12:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [12:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [12:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 390 vu: ml
t0: [12:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 20/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 20/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [12:00:00 20/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 20/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [12:00:00 20/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 20/11/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 20/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [12:00:00 20/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN st: NotStopd t0: [12:00:00 20/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 20/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 20/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 20/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 20/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [12:00:00 20/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient/Family st: NotStopd t0: [12:00:00 20/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [12:00:00 20/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 20/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [12:00:00 20/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 20/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 20/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 20/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 20/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 20/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 20/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 20/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 20/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 20/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 20/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 20/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [12:00:00 20/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [12:00:00 20/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [12:00:00 20/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 20/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [12:00:00 20/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [12:00:00 20/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 20/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 20/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [12:00:00 20/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 20/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 20/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 20/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [12:00:00 20/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 20/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 20/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 20/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 20/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 20/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 20/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 20/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 20/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [12:00:00 20/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [12:00:00 20/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 20/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 20/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [12:00:00 20/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [12:00:00 20/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Both Legs st: NotStopd t0: [12:00:00 20/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [12:00:00 20/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [12:00:00 20/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 20/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Supervised st: NotStopd t0: [12:00:00 20/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [12:00:00 20/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [12:00:00 20/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 20/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 20/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 20/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [12:00:00 20/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 20/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 20/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 20/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 20/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 20/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 20/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 20/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 20/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 20/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [12:00:00 20/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 20/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 20/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 20/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 20/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 20/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [12:00:00 20/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [12:00:00 20/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [12:00:00 20/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [12:00:00 20/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 20/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 20/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 20/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [12:00:00 20/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 20/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [13:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [13:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [13:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [13:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [13:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [13:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [13:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [13:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [13:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [13:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [14:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 20/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [14:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [14:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [14:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [14:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [14:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [14:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [14:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [14:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [14:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 20/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [14:00:00 20/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 20/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [14:00:00 20/11/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 20/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [14:00:00 20/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 20/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 20/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [14:00:00 20/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [14:00:00 20/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [14:00:00 20/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Both Legs st: NotStopd t0: [14:00:00 20/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [14:00:00 20/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [14:00:00 20/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Supervised st: NotStopd t0: [14:00:00 20/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd
t0: [15:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [15:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [15:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [15:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [15:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [15:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [15:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [15:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [15:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [15:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [15:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [15:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 20/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [12:00:00 20/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 20/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [14:00:00 20/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 20/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 20/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [14:00:00 20/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [14:00:00 20/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [14:00:00 20/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [14:00:00 20/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 20/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [14:00:00 20/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 20/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [14:00:00 20/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [14:00:00 20/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [14:00:00 20/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [16:00:00 20/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 20/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 20/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 20/11/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 20/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [16:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [16:00:00 20/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 20/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 20/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 20/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 20/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [16:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [16:00:00 20/11/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [16:00:00 20/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient/Family st: NotStopd t0: [16:00:00 20/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [16:00:00 20/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 20/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [16:00:00 20/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 20/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 20/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 20/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 20/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 20/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 20/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [16:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 20/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 20/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 20/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 20/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 20/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [16:00:00 20/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [16:00:00 20/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 20/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [16:00:00 20/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 20/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 20/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 20/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [16:00:00 20/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 20/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Brown v2: Large st: NotStopd t0: [16:00:00 20/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 20/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 20/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [16:00:00 20/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 20/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 20/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 20/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 20/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 20/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 20/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 20/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 20/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [16:00:00 20/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [16:00:00 20/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 20/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [16:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [16:00:00 20/11/2016] id: Position el: 0 cu: CSRU cg: RN st: NotStopd t0: [16:00:00 20/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 20/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Supervised st: NotStopd t0: [16:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 20/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [16:00:00 20/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [16:00:00 20/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [16:00:00 20/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 20/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 20/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [16:00:00 20/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 20/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [16:00:00 20/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 20/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 20/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 20/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 20/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 20/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 20/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 20/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [16:00:00 20/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 20/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 20/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 20/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [16:00:00 20/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 20/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 20/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 20/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [16:00:00 20/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [16:00:00 20/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [16:00:00 20/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [16:00:00 20/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 20/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 20/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 20/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [16:00:00 20/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 20/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [16:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [16:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [16:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [16:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [16:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [16:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [17:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [17:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [17:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [17:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [17:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [17:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [17:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [17:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [17:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 270 vu: ml
t0: [17:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:22:00 20/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [17:22:00 20/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 154 rs: Final st: NotStopd t0: [17:22:00 20/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [17:22:00 20/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [17:22:00 20/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [17:22:00 20/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [17:22:00 20/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 154 rs: Final st: NotStopd t0: [17:22:00 20/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.11 rs: Final st: NotStopd t0: [17:22:00 20/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [17:22:00 20/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [18:00:00 20/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [18:00:00 20/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [16:00:00 20/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 20/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [16:00:00 20/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [18:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 20/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [18:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [18:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [18:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [18:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [18:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [18:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [18:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [18:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [18:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [18:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 425 vu: ml
t0: [18:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 20/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 20/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 20/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Trach Mask st: NotStopd t0: [20:00:00 20/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 15 u1: lpm st: NotStopd t0: [20:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd
t0: [19:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [19:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [19:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [19:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [19:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [19:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [19:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [19:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [19:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [20:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [20:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [20:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 20/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [20:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [20:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [20:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd
t0: [19:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 20/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 20/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 20/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 20/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 20/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 20/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 20/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [20:00:00 20/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 20/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 20/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 20/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 20/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 20/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 20/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 20/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [20:00:00 20/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [20:00:00 20/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [20:00:00 20/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 20/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 20/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [20:00:00 20/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 20/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 20/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 20/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 20/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 20/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 20/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 20/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 20/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 20/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [19:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [19:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [19:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [19:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [19:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml t0: [20:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [20:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [20:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [20:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [20:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml t0: [21:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [21:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [21:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [21:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [21:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [21:28:00 20/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [21:28:00 20/11/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.2035 u1: ml/dl st: NotStopd t0: [21:28:00 20/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [21:28:00 20/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 35 rs: Final st: NotStopd t0: [21:28:00 20/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 54 u1: mmHg rs: Final st: NotStopd t0: [21:28:00 20/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 151 u1: mmHg rs: Final st: NotStopd t0: [21:28:00 20/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [21:28:00 20/11/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [20:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [21:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [21:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [21:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [21:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [21:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [21:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:28:00 20/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.6 rs: Final st: NotStopd t0: [21:28:00 20/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.6 rs: Final st: NotStopd t0: [22:00:00 20/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [22:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [22:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 20/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 20/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 20/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [22:00:00 20/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 20/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 20/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [22:00:00 20/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 20/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [22:00:00 20/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [22:00:00 20/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [22:00:00 20/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 20/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [22:00:00 20/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [22:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [22:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [22:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [22:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 20/11/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 50 vu: ml t0: [22:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [22:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [22:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [22:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [22:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml
t0: [21:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 20/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 20/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 20/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 20/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 20/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 20/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 20/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 20/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 20/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 20/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 20/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal st: NotStopd t0: [20:00:00 20/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [21:00:00 20/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 20/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 20/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [21:00:00 20/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [21:00:00 20/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Big Boy Bed st: NotStopd t0: [21:00:00 20/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 20/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [21:12:00 20/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [21:12:00 20/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [21:12:00 20/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 60.2 rs: Final st: NotStopd t0: [21:12:00 20/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [21:12:00 20/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [21:12:00 20/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 60.2 rs: Final st: NotStopd
t0: [22:00:00 20/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [22:00:00 20/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [22:00:00 20/11/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [22:00:00 20/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Trach Mask st: NotStopd t0: [22:00:00 20/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 15 u1: lpm st: NotStopd
t0: [00:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [00:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 21/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [00:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [00:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 20/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml nb: 1 t0: [23:00:00 20/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [23:00:00 20/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [23:00:00 20/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [23:00:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml t0: [23:30:00 20/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml t0: [00:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [00:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml nb: 1 t0: [00:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [00:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml
t0: [00:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 21/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd
t0: [00:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [00:00:00 21/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [00:00:00 21/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.1 u1: Deg. F st: NotStopd
t0: [00:00:00 21/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 137 rs: Manual st: NotStopd
t0: [00:25:00 21/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 154 rs: Final st: NotStopd t0: [00:25:00 21/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 154 rs: Final st: NotStopd
t0: [00:25:00 21/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 4 rs: Final st: NotStopd t0: [00:25:00 21/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4 rs: Final st: NotStopd
t0: [23:00:00 20/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 20/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [23:00:00 20/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 20/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 20/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [23:00:00 20/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:00:00 20/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [23:00:00 20/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 20/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [23:00:00 20/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [23:00:00 20/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 20/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [01:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [01:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [01:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [01:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [01:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 21/11/2016] id: Ectopy Frequency 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 21/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [02:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [02:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [02:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [02:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [01:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [01:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml nb: 1 t0: [01:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [01:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml t0: [02:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [02:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [02:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [02:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [02:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 500 vu: ml
t0: [23:00:00 20/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 20/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 21/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 21/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [00:00:00 21/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 21/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 21/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [00:00:00 21/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 21/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 21/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [00:00:00 21/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 21/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 21/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 21/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 21/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 21/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 21/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [01:00:00 21/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [01:00:00 21/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [01:00:00 21/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [01:00:00 21/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [01:00:00 21/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [01:00:00 21/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [01:00:00 21/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [01:00:00 21/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [01:00:00 21/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [01:00:00 21/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 21/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [01:00:00 21/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [01:00:00 21/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [01:00:00 21/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 21/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [01:00:00 21/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [02:00:00 21/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [02:00:00 21/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [02:00:00 21/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [02:00:00 21/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [02:00:00 21/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [02:00:00 21/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd
t0: [03:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [03:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 21/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [03:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [03:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [03:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [03:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [03:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [03:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [03:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [03:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [03:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 21/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 165 cv: 165 ap: none t0: [23:00:00 21/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -53 cv: -53 ap: none t0: [23:00:00 21/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 27 cv: 848 ap: none t0: [23:00:00 21/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 112 cv: 3118 ap: none t0: [23:00:00 21/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 85 cv: 2040 ap: none t0: [23:00:00 21/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 165 cv: 6000 ap: none t0: [23:00:00 21/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -53 cv: -2882 ap: none t0: [23:00:00 21/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 165 cv: 6000 ap: none t0: [23:00:00 21/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -53 cv: -7154.28 ap: carryForward
t0: [03:00:00 21/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [03:00:00 21/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Trach Mask st: NotStopd t0: [03:00:00 21/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 15 u1: lpm st: NotStopd
t0: [03:51:00 21/11/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [03:51:00 21/11/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [03:51:00 21/11/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 35 rs: Final st: NotStopd t0: [03:51:00 21/11/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 54 u1: mmHg rs: Final st: NotStopd t0: [03:51:00 21/11/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 186 u1: mmHg rs: Final st: NotStopd t0: [03:51:00 21/11/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd
t0: [03:00:00 21/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [03:00:00 21/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 21/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 21/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [03:00:00 21/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [03:00:00 21/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [03:00:00 21/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [04:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 21/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [04:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [04:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [04:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [04:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 21/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [00:00:00 21/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [00:00:00 21/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [00:00:00 21/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [00:00:00 21/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [00:00:00 21/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [00:00:00 21/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [00:00:00 21/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [00:00:00 21/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [00:00:00 21/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [01:00:00 21/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [03:00:00 21/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 21/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 21/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [04:00:00 21/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 21/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 21/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 21/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 21/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [04:00:00 21/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 21/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 21/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 21/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 21/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 21/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 21/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 21/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 21/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [04:00:00 21/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [04:00:00 21/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [04:00:00 21/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 21/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 21/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [04:00:00 21/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 21/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 21/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 21/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 21/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 21/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 21/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 21/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 21/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 21/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 21/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [03:52:00 21/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 14.6 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 14.6 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 33.2 u1: % rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 385 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.74 u1: /mic l rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 14.6 rs: Final st: NotStopd
t0: [03:52:00 21/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.5 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 59.8 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.5 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 59.8 rs: Final st: NotStopd
t0: [03:52:00 21/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.1 u1: mg/dl rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 159 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.1 u1: mg/dl rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 159 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd
t0: [05:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [05:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 21/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [05:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [05:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [05:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [05:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [05:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [04:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [04:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [04:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [04:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [05:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [05:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [05:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [05:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [05:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [05:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:52:00 21/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd t0: [03:52:00 21/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd
t0: [06:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 21/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [06:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [06:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [06:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [06:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [06:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [06:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [06:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [06:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [06:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 21/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [06:00:00 21/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [06:00:00 21/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Trach Mask st: NotStopd t0: [06:00:00 21/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 15 u1: lpm st: NotStopd
t0: [06:00:00 21/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 159 rs: Manual st: NotStopd
t0: [07:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [07:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 21/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [07:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [07:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [07:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [07:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [07:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [07:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [07:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [07:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml
t0: [07:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 21/11/2016] id: Inc Cleansing #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 21/11/2016] id: Inc Cleansing #2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 21/11/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [08:00:00 21/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 21/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [08:00:00 21/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [08:00:00 21/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 21/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 21/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 21/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [08:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 21/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 21/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 21/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 21/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 21/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 21/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 21/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [08:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 21/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 21/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 21/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [08:00:00 21/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [08:00:00 21/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [08:00:00 21/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 21/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 21/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 21/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 21/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 21/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 21/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 21/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 21/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [08:00:00 21/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 21/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 21/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [08:00:00 21/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [08:00:00 21/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 21/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 21/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 21/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 21/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 21/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 21/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 146.5 u1: kg st: NotStopd t0: [08:00:00 21/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 21/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 21/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 21/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [08:00:00 21/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 21/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 21/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [08:00:00 21/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 21/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 21/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 21/11/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.76564 u1: m2 st: NotStopd t0: [08:00:00 21/11/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 2.04593 u1: m2 st: NotStopd t0: [08:00:00 21/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 21/11/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: -7.5 u1: kg st: NotStopd t0: [08:00:00 21/11/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [08:00:00 21/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 21/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 21/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [08:00:00 21/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 21/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 21/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 21/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 21/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 21/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 30 vu: ml t0: [08:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [08:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [08:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [08:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [08:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [08:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 21/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 21/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [08:00:00 21/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96 u1: Deg. F st: NotStopd
t0: [09:00:00 21/11/2016] id: RSBI (<100) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: RSBI Not Completed el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: RSBI (<200) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: Ventilator No. el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: Ventilator Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: Waveform-Vent el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 21/11/2016] id: Working Pressure el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [09:00:00 21/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 21/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [09:00:00 21/11/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 4 v2: Albuterol st: NotStopd t0: [09:00:00 21/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Trach Mask st: NotStopd t0: [09:00:00 21/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 15 u1: lpm st: NotStopd t0: [09:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [09:00:00 21/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 21/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [09:00:00 21/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 9 v2: 29 st: NotStopd t0: [09:00:00 21/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [09:00:00 21/11/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [09:00:00 21/11/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [09:00:00 21/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd
t0: [09:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [09:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 21/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [09:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [09:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [09:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [09:00:00 21/11/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [09:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [09:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [09:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [09:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [09:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [09:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [10:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [10:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [10:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [10:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [10:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [11:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 21/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 21/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 21/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 118 u2: mmHg st: NotStopd t0: [11:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg st: NotStopd t0: [11:00:00 21/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [11:00:00 21/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [11:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [11:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 21/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Clear v2: Thick st: NotStopd t0: [11:00:00 21/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 21/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 21/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [11:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [10:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [10:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [10:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [10:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml t0: [11:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [11:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [11:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [11:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [11:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [10:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 21/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: PCT v1: 106 rs: Manual st: NotStopd
t0: [13:00:00 21/11/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 21/11/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [08:00:00 21/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 21/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 21/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 21/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 21/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 21/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 21/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 21/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 21/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 21/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 21/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 21/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 21/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 21/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [12:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [12:00:00 21/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 21/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [12:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 21/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 21/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 21/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 21/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 21/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 21/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 21/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 21/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [12:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 21/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 21/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 21/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 21/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [12:00:00 21/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [12:00:00 21/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [12:00:00 21/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 21/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [12:00:00 21/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 21/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 21/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 21/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 21/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 21/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 21/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 21/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 21/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 21/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 21/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 21/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [12:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [12:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 21/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 21/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 21/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 21/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 21/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [12:00:00 21/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 21/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 21/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 21/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 21/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 21/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 21/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 21/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [12:00:00 21/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 21/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 21/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 21/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 21/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 21/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [13:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 21/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [13:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [13:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 21/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [13:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [13:00:00 21/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [13:00:00 21/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [13:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [13:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 21/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [13:00:00 21/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [13:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [12:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [12:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [12:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [12:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml t0: [13:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [13:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [13:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [13:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [13:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [12:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [14:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [14:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [14:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [14:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [14:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 21/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 20 vu: ml t0: [14:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [14:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [14:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [14:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [14:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [14:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:03:00 21/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 162 rs: Final st: NotStopd t0: [14:03:00 21/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [14:03:00 21/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [14:03:00 21/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 162 rs: Final st: NotStopd t0: [14:03:00 21/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [14:03:00 21/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd
t0: [15:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [15:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [15:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [15:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [15:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [15:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 21/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [15:00:00 21/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [15:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [15:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [15:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [15:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 290 vu: ml
t0: [15:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [16:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [16:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [16:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [16:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [16:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [16:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 21/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [16:00:00 21/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [16:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [16:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [16:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [16:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [16:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 21/11/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 21/11/2016] id: Ectopy Frequency 2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 21/11/2016] id: Ectopy Type 2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 21/11/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [17:00:00 21/11/2016] id: Gastric Oral Gastric el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [12:00:00 21/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 21/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 21/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 21/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 21/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [15:00:00 21/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [15:00:00 21/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 21/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 21/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [15:00:00 21/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 21/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 21/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 21/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 21/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 21/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 21/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 21/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 21/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 21/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 21/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [16:00:00 21/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [16:00:00 21/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 21/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 21/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 21/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [16:00:00 21/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [17:00:00 21/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bed as Chair st: NotStopd t0: [17:00:00 21/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 21/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [17:00:00 21/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd
t0: [16:00:00 21/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 10 vu: ml t0: [17:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [17:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [17:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [17:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [17:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 130 vu: ml
t0: [11:00:00 21/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [11:00:00 21/11/2016] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 1-None to Mild st: NotStopd t0: [11:00:00 21/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 21/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [11:00:00 21/11/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 21/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Movement/Turning st: NotStopd t0: [11:00:00 21/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [11:00:00 21/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [11:00:00 21/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [11:00:00 21/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [12:00:00 21/11/2016] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 21/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 21/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 21/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [16:00:00 21/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 21/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 21/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 21/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 21/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 21/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 21/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 21/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 21/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [16:00:00 21/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 21/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 21/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 21/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 21/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 21/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 21/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 21/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 21/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 21/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 21/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 21/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 21/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [16:00:00 21/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 21/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 21/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 21/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 21/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 21/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 21/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 21/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 21/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 21/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 21/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 21/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [16:00:00 21/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 21/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 21/11/2016] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 21/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 21/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 21/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 21/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 21/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 21/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [16:00:00 21/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 21/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 21/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 21/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 21/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Comp. Limited st: NotStopd t0: [17:00:00 21/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [17:00:00 21/11/2016] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 1-None to Mild st: NotStopd t0: [17:00:00 21/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 21/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [17:00:00 21/11/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [17:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [17:00:00 21/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Movement/Turning st: NotStopd t0: [17:00:00 21/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [17:00:00 21/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [17:00:00 21/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [17:00:00 21/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [17:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [17:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [17:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [17:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 21/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 230 ap: none
t0: [17:00:00 21/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [17:00:00 21/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [17:00:00 21/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 21/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 21/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 21/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [17:00:00 21/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [17:00:00 21/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [18:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [18:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [18:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 102 u2: mmHg st: NotStopd t0: [18:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [18:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [18:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [18:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [18:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [18:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [18:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [18:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [18:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [19:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [19:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [19:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [19:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [19:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [19:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 90 u1: % st: NotStopd t0: [19:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [19:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [19:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [19:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [19:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [19:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 21/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 21/11/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [20:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [20:00:00 21/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 21/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [20:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 21/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 21/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 21/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 21/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 21/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 21/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 21/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [20:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 21/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [20:00:00 21/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 21/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 21/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 21/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 21/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [20:00:00 21/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 21/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 21/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 21/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 21/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 21/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 21/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [20:00:00 21/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [20:00:00 21/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 21/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [20:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [20:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 21/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [20:00:00 21/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 21/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 21/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 21/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [20:00:00 21/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 21/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 21/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 21/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 21/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 21/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 21/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 21/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [20:00:00 21/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 21/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 21/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [20:00:00 21/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [20:00:00 21/11/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [20:00:00 21/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [20:00:00 21/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [20:00:00 21/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 21/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 21/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 21/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [20:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [20:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [20:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [20:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 230 vu: ml
t0: [20:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:29:00 21/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [20:29:00 21/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd
t0: [20:29:00 21/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 180 rs: Final st: NotStopd t0: [20:29:00 21/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 180 rs: Final st: NotStopd
t0: [21:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [21:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [21:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [21:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [21:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [21:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [21:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 21/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [21:00:00 21/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [21:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [21:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [21:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [21:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 225 vu: ml
t0: [21:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [22:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [22:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [22:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [22:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [22:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [22:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [22:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [22:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [22:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [22:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 21/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 21/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [23:00:00 21/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 21/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 21/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 21/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 21/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [23:00:00 21/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 21/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [23:00:00 21/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [23:00:00 21/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 21/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [23:00:00 21/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 21/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 21/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 21/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [23:00:00 21/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [23:00:00 21/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [23:00:00 21/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml
t0: [23:00:00 21/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 21/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 21/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 165 vu: ml
t0: [23:00:00 21/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [23:00:00 21/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [20:00:00 21/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 21/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 21/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 21/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 21/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [20:00:00 21/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [21:00:00 21/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 21/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 21/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 21/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 21/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 21/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 22/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 22/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [00:00:00 22/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [00:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 22/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 22/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 22/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 22/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 22/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 22/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [00:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 22/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 22/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 22/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 22/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [00:00:00 22/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [00:00:00 22/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 22/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 22/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 22/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 22/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 22/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 22/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 22/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 22/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [00:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [00:00:00 22/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 22/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [00:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 22/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [00:00:00 22/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [00:00:00 22/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 22/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 22/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 22/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [00:00:00 22/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 22/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [00:00:00 22/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [00:00:00 22/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 22/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [00:00:00 22/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 22/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 22/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 22/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 22/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 22/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 22/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 22/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 164 rs: Manual st: NotStopd t0: [01:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 22/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [01:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [01:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [01:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [01:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [01:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [00:00:00 22/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [00:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [00:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [00:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml t0: [01:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [01:00:00 22/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [01:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [01:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [01:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [00:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 22/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 220 cv: 220 ap: none t0: [23:00:00 22/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -16 cv: -16 ap: none t0: [23:00:00 22/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 44 cv: 748 ap: none t0: [23:00:00 22/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 204 cv: 2943 ap: none t0: [23:00:00 22/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 160 cv: 1985 ap: none t0: [23:00:00 22/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 220 cv: 5060 ap: none t0: [23:00:00 22/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -16 cv: -2117 ap: carryForward t0: [23:00:00 22/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 220 cv: 5060 ap: carryForward t0: [23:00:00 22/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -16 cv: -9271.28 ap: carryForward
t0: [02:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 22/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [02:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [02:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [02:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [02:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [02:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 22/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [03:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [03:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [03:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [03:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [03:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:45:00 22/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 34.8 u1: % rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.9 u1: gm/dl rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 460 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.92 u1: /mic l rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd
t0: [03:45:00 22/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 56.9 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.7 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 56.9 rs: Final st: NotStopd
t0: [04:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 22/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [04:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [04:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [04:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [04:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 22/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [04:00:00 22/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.3 u1: Deg. F st: NotStopd t0: [04:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 22/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Large t0: [02:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [02:00:00 22/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [02:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [02:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [02:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [03:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [03:00:00 22/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [03:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [03:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [03:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [04:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [04:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [04:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [04:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml t0: [05:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [05:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [05:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [05:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [04:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 22/11/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [22:00:00 21/11/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: CRT v1: 4 v2: Albuterol st: NotStopd t0: [03:45:00 22/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 40 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 171 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 40 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 171 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [03:45:00 22/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [05:00:00 22/11/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: CRT v1: 4 v2: Albuterol st: NotStopd
tf: [19:00:00 28/11/2016] pt: Unit Dose rt: TP fr: BID:PRN m1: Miconazole Powder 2% v1: 1 u1: Appl
t0: [05:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 22/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [05:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [05:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [05:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [05:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [05:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [05:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 22/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [06:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [06:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [06:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [06:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [06:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [06:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [06:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [06:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 290 vu: ml t0: [07:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [07:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [07:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml
t0: [05:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [07:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 22/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [07:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [07:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [07:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [07:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [07:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 22/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [08:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [08:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [08:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 22/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 139 u1: kg st: NotStopd t0: [08:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 22/11/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.707 u1: m2 st: NotStopd t0: [08:00:00 22/11/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 1.97957 u1: m2 st: NotStopd t0: [08:00:00 22/11/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: -8.3 u1: kg st: NotStopd t0: [08:00:00 22/11/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 130.7 u1: kg st: NotStopd
t0: [08:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [08:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [08:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [08:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [08:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 22/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 22/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [08:00:00 22/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 22/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: Carafate st: NotStopd t0: [08:00:00 22/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 22/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 22/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 22/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 22/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 22/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 22/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 22/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 22/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 22/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [08:00:00 22/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [08:00:00 22/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [08:00:00 22/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 22/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 22/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 22/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 22/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 22/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 22/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 22/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 22/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 22/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 22/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 22/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 22/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 22/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 22/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 22/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 22/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [08:00:00 22/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 22/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 22/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 22/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 22/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 22/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 22/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 22/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 22/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 22/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 22/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 22/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 22/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 22/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 22/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [08:00:00 22/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 22/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 22/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 22/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 22/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 22/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 22/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 22/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [08:00:00 22/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 22/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 22/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [08:00:00 22/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 22/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 22/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 22/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 22/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 22/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [09:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 22/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [09:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [09:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [09:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [09:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 130.7 u1: kg st: NotStopd t0: [09:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [09:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [09:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [09:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 210 vu: ml
t0: [09:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 22/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 22/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [08:00:00 22/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [10:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 22/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [10:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [10:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [10:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 130.7 u1: kg st: NotStopd t0: [10:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [10:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [10:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [10:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [10:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:55:00 22/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [10:55:00 22/11/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 4 v2: Albuterol st: NotStopd t0: [10:55:00 22/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Trach Mask st: NotStopd t0: [10:55:00 22/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 9 u1: lpm st: NotStopd t0: [10:55:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [10:55:00 22/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: None st: NotStopd
t0: [08:00:00 22/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 22/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [08:00:00 22/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 22/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [11:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 22/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [11:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [11:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [11:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [11:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 130.7 u1: kg st: NotStopd t0: [11:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [11:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [11:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [11:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [11:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 22/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 22/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 22/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 22/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 22/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 22/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [12:00:00 22/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 22/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [12:00:00 22/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 22/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 22/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 22/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 22/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 22/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 22/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [12:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 22/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 22/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 22/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [12:00:00 22/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [12:00:00 22/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [12:00:00 22/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 22/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 22/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bed as Chair st: NotStopd t0: [12:00:00 22/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 22/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 22/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 22/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 22/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 22/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 22/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 22/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 22/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 22/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 22/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 22/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:00:00 22/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [12:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 22/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 22/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 22/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 22/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 22/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 22/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 130.7 u1: kg st: NotStopd t0: [12:00:00 22/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 22/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 22/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 22/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 22/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 22/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 22/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 22/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 22/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 22/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 22/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 22/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd
t0: [12:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [12:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [12:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 85 vu: ml t0: [12:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [12:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 22/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 185 rs: Manual st: NotStopd
t0: [13:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 22/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [13:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [13:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [13:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [13:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 130.7 u1: kg st: NotStopd t0: [13:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [13:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [13:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [13:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [13:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [14:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 22/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [14:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 22/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [14:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 22/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [14:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 22/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [14:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [14:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 130.7 u1: kg st: NotStopd t0: [14:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:00:00 22/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 22/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 22/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 22/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [14:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [14:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [14:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [14:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 22/11/2016] id: INV Line#5 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [14:00:00 22/11/2016] id: INV Line#5InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [14:00:00 22/11/2016] id: INV Line#5SiteAppear el: 0 cu: CSRU cg: RN v1: Bleeding st: NotStopd
t0: [14:00:00 22/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [14:00:00 22/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [14:00:00 22/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98 u1: Deg. F st: NotStopd
t0: [12:00:00 22/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient/Sig Othr st: NotStopd t0: [12:00:00 22/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [12:00:00 22/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [12:00:00 22/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Rehabilitation st: NotStopd t0: [12:00:00 22/11/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: Nurse Case Mgr st: NotStopd t0: [12:00:00 22/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [14:00:00 22/11/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [14:00:00 22/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [14:00:00 22/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [14:00:00 22/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 22/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [14:00:00 22/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [14:00:00 22/11/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: Speech/SwallowRN st: NotStopd t0: [14:00:00 22/11/2016] id: ROM el: 0 cu: CSRU cg: RN v1: Passive v2: Both Legs st: NotStopd t0: [15:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 22/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [15:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 22/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [15:00:00 22/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [15:00:00 22/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 22/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [15:00:00 22/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [15:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [15:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 22/11/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: Physical Therapy st: NotStopd t0: [15:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [15:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [15:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 130.7 u1: kg st: NotStopd t0: [15:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 22/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 22/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [16:00:00 22/11/2016] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 1-None to Mild st: NotStopd t0: [16:00:00 22/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 22/11/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [16:00:00 22/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 22/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 22/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 22/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 22/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 22/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 22/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 22/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 22/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 22/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [16:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 22/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [16:00:00 22/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 22/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 22/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 22/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 22/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 22/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 22/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 22/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 22/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 22/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 22/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 22/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 22/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 22/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 22/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 22/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 22/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [16:00:00 22/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Movement/Turning st: NotStopd t0: [16:00:00 22/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [16:00:00 22/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [16:00:00 22/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [16:00:00 22/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [16:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [16:00:00 22/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 22/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 22/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [16:00:00 22/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 22/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 22/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 22/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 22/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 130.7 u1: kg st: NotStopd t0: [16:00:00 22/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 22/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 22/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 22/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 22/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:00:00 22/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 22/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 22/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 22/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 22/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 22/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 22/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 22/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 22/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 22/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 22/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 22/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [16:00:00 22/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 22/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 22/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [16:00:00 22/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 22/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 22/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 22/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [16:00:00 22/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [17:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [17:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [17:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 130.7 u1: kg st: NotStopd t0: [17:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 22/11/2016] tf: [00:00:00 23/11/2016] dt: 720 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 10 vu: ml t0: [15:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [15:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [15:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [15:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 130 vu: ml t0: [16:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [16:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [16:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [16:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [17:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [17:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [17:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [17:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [15:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [19:00:00 28/11/2016] pt: Unit Dose rt: PO fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Nystatin Oral Suspension v1: 5 u1: ml
t0: [16:00:00 22/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 22/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 22/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 22/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 22/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v2: Left Subclavian st: NotStopd t0: [16:00:00 22/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [16:00:00 22/11/2016] id: INV Line#5 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 22/11/2016] id: INV Line#5InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [16:00:00 22/11/2016] id: INV Line#5SiteAppear el: 0 cu: CSRU cg: RN v1: Bleeding st: NotStopd t0: [16:00:00 22/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 191 rs: Manual st: NotStopd t0: [18:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [18:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 104 u2: mmHg st: NotStopd t0: [18:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [18:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 130.7 u1: kg st: NotStopd t0: [18:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [18:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [19:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [19:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [19:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 130.7 u1: kg st: NotStopd t0: [19:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [19:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [18:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [18:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [18:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 450 vu: ml t0: [19:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [19:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [19:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml
t0: [18:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 22/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 22/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 22/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 22/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 22/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 22/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 22/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 22/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [20:00:00 22/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 22/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 22/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 22/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 22/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 22/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [20:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 22/11/2016] id: INV Line#3 D/C Date el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [20:00:00 22/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 22/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 22/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 22/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 22/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [20:00:00 22/11/2016] id: INV Line#5 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 22/11/2016] id: INV Line#5InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [20:00:00 22/11/2016] id: INV Line#5SiteAppear el: 0 cu: CSRU cg: RN v1: Bleeding st: NotStopd t0: [20:00:00 22/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [20:00:00 22/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 22/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 22/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 22/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 22/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 22/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 22/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 22/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 22/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 22/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 22/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 22/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 22/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 22/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 22/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [20:00:00 22/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 9 u1: lpm st: NotStopd t0: [20:00:00 22/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 22/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 22/11/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [20:00:00 22/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [20:00:00 22/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 22/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 22/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [20:00:00 22/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 22/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 22/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 22/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 22/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 130.7 u1: kg st: NotStopd t0: [20:00:00 22/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 22/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 22/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 22/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 22/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 22/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 22/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 22/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 22/11/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 22/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 22/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 22/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [20:00:00 22/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [20:00:00 22/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 22/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 22/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 22/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 22/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 22/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 22/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [20:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [20:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [20:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [20:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 22/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 70 vu: ml t0: [21:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [21:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [21:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [21:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [23:00:00 22/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 210 ap: none
t0: [22:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 22/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 189 rs: Manual st: NotStopd t0: [23:00:00 22/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 22/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 22/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 22/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 22/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 22/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [23:00:00 22/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 22/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [23:00:00 22/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 86.3333 u1: mmHg st: NotStopd t0: [23:00:00 22/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 22/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 130.7 u1: kg st: NotStopd t0: [23:00:00 22/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 22/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 22/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 22/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 34 vu: ml t0: [23:00:00 22/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [23:00:00 22/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 160 vu: ml t0: [23:00:00 22/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [23:00:00 22/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 22/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:47:00 22/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [23:47:00 22/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd
t0: [01:00:00 23/11/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 23/11/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 23/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 23/11/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 23/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 23/11/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 23/11/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 23/11/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 23/11/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [23:00:00 22/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 23/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 23/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [00:00:00 23/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 23/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 23/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [00:00:00 23/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 23/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 23/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 23/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 23/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 23/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 23/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [00:00:00 23/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 23/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 23/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 23/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 23/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 23/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 23/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 23/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 23/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 23/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 23/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 23/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 23/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 23/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 23/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 23/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [00:00:00 23/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 23/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 23/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 23/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 23/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 23/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 23/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 23/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 23/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 23/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 23/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 23/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 23/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 23/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 23/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 23/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 23/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 23/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 23/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [01:00:00 23/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 23/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 23/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 23/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 23/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 23/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [01:00:00 23/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 23/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [01:00:00 23/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 94.6667 u1: mmHg st: NotStopd t0: [01:00:00 23/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 23/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 23/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 23/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 23/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [01:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 34 vu: ml t0: [01:00:00 23/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [01:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 160 vu: ml t0: [01:00:00 23/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml
t0: [01:00:00 23/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 23/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 22/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 22/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 22/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 22/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [23:00:00 22/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 22/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 22/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [23:47:00 22/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.6 rs: Final st: NotStopd t0: [23:47:00 22/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.6 rs: Final st: NotStopd t0: [00:00:00 23/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 23/11/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 23/11/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 23/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 23/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 23/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [00:00:00 23/11/2016] id: INV Line#5 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 23/11/2016] id: INV Line#5InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [00:00:00 23/11/2016] id: INV Line#5SiteAppear el: 0 cu: CSRU cg: RN v1: Bleeding st: NotStopd t0: [00:00:00 23/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [00:00:00 23/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 9 u1: lpm st: NotStopd t0: [00:00:00 23/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [01:00:00 23/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 23/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 23/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 23/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 23/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 23/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 23/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [01:00:00 23/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [01:00:00 23/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 23/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [01:00:00 23/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [01:00:00 23/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [01:00:00 23/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [01:00:00 23/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 23/11/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.75025 u1: m2 st: NotStopd t0: [01:00:00 23/11/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 2.02854 u1: m2 st: NotStopd t0: [01:00:00 23/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 23/11/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [01:00:00 23/11/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd
t0: [02:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [02:00:00 23/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [02:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [02:00:00 23/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [23:00:00 23/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 23/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 102 cv: 102 ap: none t0: [23:00:00 23/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 22 cv: 682 ap: none t0: [23:00:00 23/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 102 cv: 3552 ap: none t0: [23:00:00 23/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 80 cv: 1900 ap: none t0: [23:00:00 23/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN cv: 3170 ap: none t0: [23:00:00 23/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 102 cv: 382 ap: carryForward t0: [23:00:00 23/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN cv: 3170 ap: carryForward t0: [23:00:00 23/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 102 cv: -8889.28 ap: carryForward
t0: [03:46:00 23/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 15.1 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 15.1 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 34.7 u1: % rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.3 u1: gm/dl rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 429 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.94 u1: /mic l rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 15.1 rs: Final st: NotStopd
t0: [03:46:00 23/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 15.1 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 64.5 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 15.1 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 64.5 rs: Final st: NotStopd
t0: [03:00:00 23/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 23/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 23/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 23/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 23/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 23/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [03:00:00 23/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 23/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [03:00:00 23/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [03:00:00 23/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 23/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [03:00:00 23/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 23/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 23/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:46:00 23/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 43 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 43 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [04:00:00 23/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 23/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 23/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [04:00:00 23/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 23/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 23/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [04:00:00 23/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 23/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 23/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 23/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 23/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 23/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 23/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 23/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [04:00:00 23/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/11/2016] id: INV Line#5 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 23/11/2016] id: INV Line#5InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [04:00:00 23/11/2016] id: INV Line#5SiteAppear el: 0 cu: CSRU cg: RN v1: Bleeding st: NotStopd t0: [04:00:00 23/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [04:00:00 23/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 23/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 23/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 23/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 23/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 23/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 23/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 23/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 23/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 23/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 23/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 23/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 23/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 23/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 23/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 23/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [04:00:00 23/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 23/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 23/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 23/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 23/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 23/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 23/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 23/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 23/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 23/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 23/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 23/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 23/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 23/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 23/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 23/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 23/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 23/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 23/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [04:00:00 23/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [04:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 34 vu: ml t0: [04:00:00 23/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 10 vu: ml t0: [04:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 160 vu: ml t0: [04:00:00 23/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [03:00:00 23/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 23/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 23/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [04:00:00 23/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 9 u1: lpm st: NotStopd t0: [05:00:00 23/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 23/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 23/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 23/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 23/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 23/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [05:00:00 23/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 23/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:00:00 23/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [05:00:00 23/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 23/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [05:00:00 23/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 23/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [05:00:00 23/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [05:00:00 23/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [05:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [05:00:00 23/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [05:00:00 23/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 23/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:46:00 23/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 4 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4 rs: Final st: NotStopd
t0: [06:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [06:00:00 23/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [06:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [06:00:00 23/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [03:46:00 23/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 169 rs: Final st: NotStopd t0: [03:46:00 23/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 169 rs: Final st: NotStopd
t0: [22:00:00 22/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [22:00:00 22/11/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: CRT v1: 6 v2: Albuterol st: NotStopd t0: [22:00:00 22/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: CRT v1: Trach Mask st: NotStopd t0: [22:00:00 22/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: CRT v1: 9 u1: lpm st: NotStopd t0: [06:00:00 23/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [06:00:00 23/11/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: CRT v1: 6 v2: Albuterol st: NotStopd t0: [06:00:00 23/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: CRT v1: Trach Mask st: NotStopd t0: [06:00:00 23/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: CRT v1: 9 u1: lpm st: NotStopd
t0: [05:00:00 23/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [05:00:00 23/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [05:00:00 23/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [07:00:00 23/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 23/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 23/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 23/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 23/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 23/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [07:00:00 23/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 23/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [07:00:00 23/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [07:00:00 23/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 23/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [07:00:00 23/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 23/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 23/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [07:00:00 23/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [07:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [07:00:00 23/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [07:00:00 23/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 23/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
id: Po Intake el: 1 cu: CSRU cg: RN io: Po Intake PO/Gastric du: ml rt: Oral
t0: [08:00:00 23/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 23/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 23/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [08:00:00 23/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 23/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 23/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 23/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 23/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 23/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 23/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 23/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 23/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 23/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 23/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 23/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 23/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 23/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 23/11/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 23/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 23/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [08:00:00 23/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 23/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [08:00:00 23/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 23/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [08:00:00 23/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/11/2016] id: INV Line#5 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 23/11/2016] id: INV Line#5InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [08:00:00 23/11/2016] id: INV Line#5SiteAppear el: 0 cu: CSRU cg: RN v1: Bleeding st: NotStopd t0: [08:00:00 23/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 23/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 23/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 23/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 23/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 23/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 23/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 23/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 23/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 23/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 23/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 23/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 23/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 23/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 23/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 23/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [08:00:00 23/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 78.6667 u1: mmHg st: NotStopd t0: [08:00:00 23/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [08:00:00 23/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 9 u1: lpm st: NotStopd t0: [08:00:00 23/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 23/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 23/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 23/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 23/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 23/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 23/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 23/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 23/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 23/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 23/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 23/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [08:00:00 23/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 23/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 23/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 23/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 23/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 23/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 34 u1: BPM st: NotStopd t0: [08:00:00 23/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 23/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 23/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 23/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [08:00:00 23/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 23/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 23/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [08:00:00 23/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [08:00:00 23/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 23/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 23/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 23/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 23/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 23/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 23/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [08:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [08:00:00 23/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [08:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [08:00:00 23/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [08:00:00 23/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 23/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 23/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml
t0: [09:00:00 23/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [09:00:00 23/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 9 u1: lpm st: NotStopd t0: [09:00:00 23/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 23/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Clear v2: Thin st: NotStopd t0: [09:00:00 23/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [09:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [09:00:00 23/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [09:00:00 23/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [09:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [09:00:00 23/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [09:00:00 23/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 23/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 23/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 23/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [09:00:00 23/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [09:00:00 23/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 78.6667 u1: mmHg st: NotStopd t0: [09:00:00 23/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 23/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [09:00:00 23/11/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 23/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 23/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 23/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 23/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [12:00:00 23/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 23/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 23/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 23/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Poor st: NotStopd t0: [12:00:00 23/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 23/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 23/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 23/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 23/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 23/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 23/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 23/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 23/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 23/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [12:00:00 23/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 23/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 23/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 23/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 23/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 23/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 23/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 23/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [12:00:00 23/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [12:00:00 23/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 23/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 23/11/2016] id: ROM el: 0 cu: CSRU cg: RN v1: Active v2: All Extremities st: NotStopd t0: [12:00:00 23/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 23/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 23/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 23/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 23/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 23/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Logroll st: NotStopd t0: [12:00:00 23/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 23/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 141 rs: Manual st: NotStopd t0: [12:00:00 23/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 23/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [12:00:00 23/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 23/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [12:00:00 23/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [12:00:00 23/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 11 u1: number st: NotStopd t0: [12:00:00 23/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [13:00:00 23/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [13:00:00 23/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [13:00:00 23/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [13:00:00 23/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [13:00:00 23/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 23/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [13:00:00 23/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 23/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 23/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [13:00:00 23/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 23/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [13:00:00 23/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 23/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 23/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [13:00:00 23/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [13:00:00 23/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [13:00:00 23/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [13:00:00 23/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [13:00:00 23/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [13:00:00 23/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 23/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [13:00:00 23/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [13:00:00 23/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [13:00:00 23/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [13:00:00 23/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [13:00:00 23/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [13:00:00 23/11/2016] id: INV Line#5 D/C Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [13:00:00 23/11/2016] id: INV Line#5 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [13:00:00 23/11/2016] id: INV Line#5InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [13:00:00 23/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [13:00:00 23/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [13:00:00 23/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [13:00:00 23/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [13:00:00 23/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [13:00:00 23/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [13:00:00 23/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [13:00:00 23/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [13:00:00 23/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 58.6667 u1: mmHg st: NotStopd t0: [13:00:00 23/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [13:00:00 23/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 9 u1: lpm st: NotStopd t0: [13:00:00 23/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [13:00:00 23/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [13:00:00 23/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [13:00:00 23/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 23/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 23/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [13:00:00 23/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [13:00:00 23/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [13:00:00 23/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [13:00:00 23/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [13:00:00 23/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [13:00:00 23/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [13:00:00 23/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [13:00:00 23/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 23/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [13:00:00 23/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [13:00:00 23/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [13:00:00 23/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [13:00:00 23/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [13:00:00 23/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [13:00:00 23/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [13:00:00 23/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 23/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [13:00:00 23/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 150 vu: ml t0: [13:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [13:00:00 23/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [13:00:00 23/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [13:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 380 vu: ml t0: [13:00:00 23/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [09:00:00 23/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 23/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 23/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 23/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 23/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 23/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 23/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 23/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 23/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 23/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 23/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [14:00:00 23/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 23/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [14:00:00 23/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [14:00:00 23/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 23/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [14:00:00 23/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [14:00:00 23/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 23/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [14:00:00 23/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [14:00:00 23/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 5 vu: ml t0: [14:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [14:00:00 23/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [14:00:00 23/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 23/11/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip st: Stopped
t0: [14:00:00 23/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 23/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [14:00:00 23/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [14:00:00 23/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [14:00:00 23/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [14:00:00 23/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd
t0: [15:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [15:00:00 23/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [15:00:00 23/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 354 vo: 0 vu: ml st: Stopped t0: [15:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [15:00:00 23/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [15:11:00 23/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 34.5 u1: % rs: Final st: NotStopd
t0: [15:11:00 23/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [15:11:00 23/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [15:11:00 23/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 54.6 rs: Final st: NotStopd t0: [15:11:00 23/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [15:11:00 23/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [15:11:00 23/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 54.6 rs: Final st: NotStopd
t0: [16:00:00 23/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2016] id: INV Line#3 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2016] id: INV Line#4 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2016] id: INV Line#5 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2016] id: INV Line#5 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2016] id: INV Line#5InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2016] id: INV Line#5SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [16:00:00 23/11/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: -1 ai: 354 vo: 0 st: D/C'd
tf: [09:00:00 26/11/2016] pt: Unit Dose rt: IV fr: TID fs: 08, 16, 22 dn: 3 m1: Furosemide v1: 40 u1: mg
t0: [15:11:00 23/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 171 rs: Final st: NotStopd t0: [15:11:00 23/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [15:11:00 23/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [15:11:00 23/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 171 rs: Final st: NotStopd t0: [15:11:00 23/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [15:11:00 23/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd
t0: [16:00:00 23/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 23/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 23/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 23/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 23/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 23/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [16:00:00 23/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 23/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:00:00 23/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [16:00:00 23/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 23/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [16:00:00 23/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 23/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 23/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 23/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [16:00:00 23/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [16:00:00 23/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [16:00:00 23/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [16:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [16:00:00 23/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml
t0: [16:00:00 23/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:16:00 23/11/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 4 v2: Albuterol st: NotStopd
t0: [15:00:00 23/11/2016] id: INV#4Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [15:00:00 23/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 23/11/2016] id: INV Line#4 D/C Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [15:00:00 23/11/2016] id: INV Line#4 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [15:00:00 23/11/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [15:00:00 23/11/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 9 v2: 29 st: NotStopd t0: [15:00:00 23/11/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [15:00:00 23/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 23/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [15:00:00 23/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [15:00:00 23/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 23/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 23/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [16:00:00 23/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 23/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 23/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 23/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 23/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 23/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [16:00:00 23/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 23/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 23/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 23/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 23/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 23/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 23/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [16:00:00 23/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [16:00:00 23/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [16:00:00 23/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 23/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 23/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 23/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 23/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 23/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 23/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 23/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 23/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 23/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 23/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 23/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 23/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 23/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 23/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [16:00:00 23/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 23/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 23/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [16:00:00 23/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 23/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 23/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 23/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 23/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 23/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 23/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 23/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 23/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 23/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 23/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 23/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 23/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 23/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 23/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 23/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 23/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 23/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 23/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 23/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [16:00:00 23/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 23/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [16:00:00 23/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 23/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 23/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 23/11/2016] tf: [15:18:00 28/11/2016] dt: 7638 id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 100 vu: ml
t0: [13:00:00 23/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [16:00:00 23/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd
t0: [17:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [17:00:00 23/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [17:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [17:00:00 23/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [18:00:00 23/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 23/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 23/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 23/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 23/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 23/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 23/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [18:00:00 23/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 23/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [18:00:00 23/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 84.6667 u1: mmHg st: NotStopd t0: [18:00:00 23/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 23/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [18:00:00 23/11/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN st: NotStopd t0: [18:00:00 23/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [18:00:00 23/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 23/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [18:00:00 23/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [18:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [18:00:00 23/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [18:00:00 23/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 23/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 162 rs: Manual st: NotStopd
t0: [18:00:00 23/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 100 vu: ml
t0: [19:00:00 23/11/2016] tf: [12:00:00 25/11/2016] dt: 2460 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 20 vu: ml t0: [19:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [19:00:00 23/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [19:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [19:00:00 23/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Medium t0: [19:00:00 23/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 210 vu: ml
t0: [21:00:00 23/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [21:00:00 23/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 23/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [21:00:00 23/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 23/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 23/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [21:00:00 23/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 23/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [21:00:00 23/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 23/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [21:00:00 23/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 23/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 23/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [21:00:00 23/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [21:00:00 23/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [21:00:00 23/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [21:00:00 23/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [21:00:00 23/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [21:00:00 23/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 23/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [21:00:00 23/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [21:00:00 23/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [21:00:00 23/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [21:00:00 23/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 23/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [21:00:00 23/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [21:00:00 23/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 23/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 23/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [21:00:00 23/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [21:00:00 23/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [21:00:00 23/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 23/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [21:00:00 23/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [21:00:00 23/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [21:00:00 23/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [21:00:00 23/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 23/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [21:00:00 23/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 56.3333 u1: mmHg st: NotStopd t0: [21:00:00 23/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 23/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 23/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [21:00:00 23/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [21:00:00 23/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 23/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 23/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 23/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [21:00:00 23/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [21:00:00 23/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [21:00:00 23/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [21:00:00 23/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [21:00:00 23/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [21:00:00 23/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [21:00:00 23/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 23/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [21:00:00 23/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 23/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [21:00:00 23/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [21:00:00 23/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 23/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [21:00:00 23/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 23/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 23/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 23/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [21:00:00 23/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Formed st: NotStopd t0: [21:00:00 23/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [21:00:00 23/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [21:00:00 23/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 23/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 23/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 23/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [21:00:00 23/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 23/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 23/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [20:00:00 23/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [20:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [21:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [21:00:00 23/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [21:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 0 vu: ml t0: [21:00:00 23/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Medium t0: [21:00:00 23/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [21:00:00 23/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 23/11/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [21:00:00 23/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 23/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [21:00:00 23/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 23/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [21:00:00 23/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [21:00:00 23/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [21:00:00 23/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [21:00:00 23/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Dull st: NotStopd
t0: [22:00:00 23/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 23/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 23/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 23/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 23/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [22:00:00 23/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 23/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [22:00:00 23/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 53.6667 u1: mmHg st: NotStopd t0: [22:00:00 23/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 23/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [22:00:00 23/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:00:00 23/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 23/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [22:00:00 23/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [22:00:00 23/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [22:00:00 23/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 23/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 100 vu: ml t0: [22:00:00 23/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 150 vu: ml t0: [22:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [22:00:00 23/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [22:00:00 23/11/2016] tf: [09:00:00 26/11/2016] dt: 3540 id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [22:00:00 23/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [22:00:00 23/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 23/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 970 ap: none
t0: [23:00:00 23/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: CRT v1: 0.35 u1: torr st: NotStopd t0: [23:00:00 23/11/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: CRT v1: 6 v2: Albuterol st: NotStopd t0: [23:00:00 23/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: CRT v1: Aerosol-Cool st: NotStopd t0: [23:00:00 23/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: CRT v1: 8 u1: lpm st: NotStopd t0: [23:00:00 23/11/2016] id: SpO2 el: 0 cu: CSRU cg: CRT v1: 99 u1: % st: NotStopd
t0: [23:00:00 23/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 23/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 23/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 23/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 23/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [23:00:00 23/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 23/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:00:00 23/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [23:00:00 23/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 23/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [23:00:00 23/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [23:00:00 23/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 23/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 24/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [00:00:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [00:00:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:00:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [00:00:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [00:00:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 169 rs: Manual st: NotStopd
t0: [23:00:00 23/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [23:00:00 23/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [23:00:00 23/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [00:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [00:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [00:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [00:00:00 24/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [00:00:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 23/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 23/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [23:00:00 23/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 23/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [23:00:00 23/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 23/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [23:00:00 23/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 23/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 23/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [23:00:00 23/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [00:00:00 24/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 24/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [00:00:00 24/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 24/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 24/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [00:00:00 24/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 24/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 24/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 24/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 24/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 24/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [00:00:00 24/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 24/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 24/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 24/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 24/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 24/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 24/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 24/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 24/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 24/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 24/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 24/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 24/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 24/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 24/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [00:00:00 24/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [00:00:00 24/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 24/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 24/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 24/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 24/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 24/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 24/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 24/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 24/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 24/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 24/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 24/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 24/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 24/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 24/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 24/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 24/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [02:00:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [02:00:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [02:00:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [02:00:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [01:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [01:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [02:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [02:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [02:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [02:00:00 24/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 500 vu: ml
t0: [02:00:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 24/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 24/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 24/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN cv: 767 ap: none t0: [23:00:00 24/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN cv: 3437 ap: none t0: [23:00:00 24/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN cv: 1840 ap: none t0: [23:00:00 24/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN cv: 3120 ap: none t0: [23:00:00 24/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN cv: 317 ap: carryForward t0: [23:00:00 24/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN cv: 3120 ap: carryForward t0: [23:00:00 24/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN cv: -8572.28 ap: carryForward
t0: [02:41:00 24/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 12.7 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 12.7 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 34.5 u1: % rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.8 u1: gm/dl rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 349 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.97 u1: /mic l rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 12.7 rs: Final st: NotStopd
t0: [02:41:00 24/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.8 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 66.4 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.8 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 66.4 rs: Final st: NotStopd
t0: [02:41:00 24/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 42 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 90 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 174 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 42 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 90 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 174 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd
t0: [04:00:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: CRT v1: CSRU st: NotStopd t0: [04:00:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: CRT v1: Full Code st: NotStopd t0: [04:00:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: CRT v1: Yes st: NotStopd t0: [04:00:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: CRT v1: None st: NotStopd t0: [04:00:00 24/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: CRT v1: 0.35 u1: torr st: NotStopd t0: [04:00:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: CRT v1: 95 u1: BPM st: NotStopd t0: [04:00:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: CRT v1: Normal Sinus st: NotStopd t0: [04:00:00 24/11/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: CRT v1: 6 v2: Albuterol st: NotStopd t0: [04:00:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: CRT v1: 97 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: CRT v1: 64.3333 u1: mmHg st: NotStopd t0: [04:00:00 24/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: CRT v1: Aerosol-Cool st: NotStopd t0: [04:00:00 24/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: CRT v1: 8 u1: lpm st: NotStopd t0: [04:00:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: CRT v1: Contact st: NotStopd t0: [04:00:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: CRT v1: 136.8 u1: kg st: NotStopd t0: [04:00:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: CRT v1: 23 u1: BPM st: NotStopd t0: [04:00:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: CRT v1: 100 u1: % st: NotStopd t0: [04:00:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: CRT v1: 1 u1: kg st: NotStopd
t0: [04:00:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: CRT so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 24/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 24/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [04:00:00 24/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.3 u1: Deg. F st: NotStopd
t0: [00:00:00 24/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 20 vu: ml t0: [04:00:00 24/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 150 vu: ml t0: [04:00:00 24/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 10 vu: ml t0: [04:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 34 vu: ml t0: [04:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 160 vu: ml t0: [04:00:00 24/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [02:41:00 24/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.2 rs: Final st: NotStopd t0: [02:41:00 24/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.2 rs: Final st: NotStopd t0: [04:00:00 24/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 24/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [04:00:00 24/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 24/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 24/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [04:00:00 24/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 24/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 24/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 24/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 24/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 24/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [04:00:00 24/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 24/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 24/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 24/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 24/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 24/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 24/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 24/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 24/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 24/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 24/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 24/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 24/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 24/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 24/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [04:00:00 24/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 24/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 24/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 24/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 24/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 24/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 24/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 24/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [04:00:00 24/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 24/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 24/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 24/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 24/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 24/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 24/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 24/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 24/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 24/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [00:00:00 24/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 24/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [00:00:00 24/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [01:00:00 24/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 24/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [01:00:00 24/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 24/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 24/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 24/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 24/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 24/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 24/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [04:00:00 24/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [04:00:00 24/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [04:00:00 24/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 24/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [04:00:00 24/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 24/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 24/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 24/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 24/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [04:00:00 24/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 24/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [06:00:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 24/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 24/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [06:00:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 24/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 24/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [06:00:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [06:00:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 74.3333 u1: mmHg st: NotStopd t0: [06:00:00 24/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [06:00:00 24/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [06:00:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 24/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 24/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [06:00:00 24/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [06:00:00 24/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 24/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 194 rs: Manual st: NotStopd
t0: [06:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [06:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 160 vu: ml t0: [06:00:00 24/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [06:00:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 24/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 24/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 24/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 24/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 24/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 24/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 24/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 24/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 24/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 24/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [08:00:00 24/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 24/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [08:00:00 24/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 24/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 24/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 24/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 24/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [08:00:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 24/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 24/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [08:00:00 24/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 24/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 24/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 24/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 24/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 24/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 24/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 24/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 24/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 24/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 24/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 24/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 24/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 24/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 24/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [08:00:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [08:00:00 24/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [08:00:00 24/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 8 u1: lpm st: NotStopd t0: [08:00:00 24/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 24/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 24/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 24/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 24/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 24/11/2016] id: PresSoreStage/Heal#1 el: 0 cu: CSRU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 24/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [08:00:00 24/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 24/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 24/11/2016] id: PressSore Drng/Amt#1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 24/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 24/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 24/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 24/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 24/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 24/11/2016] id: PressSoreWoundBase#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [08:00:00 24/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [08:00:00 24/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [08:00:00 24/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 24/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [08:00:00 24/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 24/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 24/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 24/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 24/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [08:00:00 24/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 24/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 24/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 24/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Clear v2: Thin st: NotStopd t0: [08:00:00 24/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 24/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 24/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [08:00:00 24/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [08:00:00 24/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [08:00:00 24/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 24/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 24/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 24/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 24/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 24/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 24/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 24/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 24/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [08:00:00 24/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 24/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 24/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [08:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [08:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 160 vu: ml t0: [08:00:00 24/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [08:00:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 24/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 100 vu: ml
t0: [08:30:00 24/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [09:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [09:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [09:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [09:00:00 24/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
tf: [23:00:00 24/11/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Amiodarone HCl v1: 400 u1: mg tf: [19:00:00 28/11/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [09:00:00 24/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [09:00:00 24/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 24/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [09:00:00 24/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [09:00:00 24/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [09:00:00 24/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [09:00:00 24/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 24/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 24/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 24/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [10:00:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 24/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 24/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [10:00:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [10:00:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [10:00:00 24/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 24/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [10:00:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [10:00:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 24/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 24/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [10:00:00 24/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 24/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [10:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [10:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [10:00:00 24/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [10:00:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 24/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Formed st: NotStopd
t0: [10:00:00 24/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Medium
t0: [23:00:00 24/11/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [11:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [11:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [11:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [11:00:00 24/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
tf: [19:00:00 28/11/2016] pt: Unit Dose rt: PO fr: Q6H:PRN m1: Guaifenesin v1: 5-10 u1: ml
t0: [08:00:00 24/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [10:00:00 24/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Wires DC'd st: NotStopd t0: [12:00:00 24/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 24/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 24/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 24/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 24/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 24/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 24/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 24/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 24/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [12:00:00 24/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 24/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 24/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 24/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 24/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 24/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 24/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [12:00:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 24/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [12:00:00 24/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [12:00:00 24/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 24/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [12:00:00 24/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 24/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [12:00:00 24/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 24/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 24/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 24/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 24/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 24/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 24/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 24/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 24/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 24/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 24/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 24/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 24/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [12:00:00 24/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 24/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [12:00:00 24/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 24/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 24/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 24/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 24/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [12:00:00 24/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [12:00:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 24/11/2016] id: PresSoreStage/Heal#1 el: 0 cu: CSRU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 24/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [12:00:00 24/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 24/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 24/11/2016] id: PressSore Drng/Amt#1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 24/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 24/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 24/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 24/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 24/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 24/11/2016] id: PressSoreWoundBase#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [12:00:00 24/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [12:00:00 24/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [12:00:00 24/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 24/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [12:00:00 24/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 24/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 24/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 24/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 24/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 24/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 24/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 24/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 24/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 24/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 24/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 24/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:00:00 24/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [12:00:00 24/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [12:00:00 24/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [12:00:00 24/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 24/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 24/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 24/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 159 rs: Manual st: NotStopd t0: [12:00:00 24/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 24/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 24/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 24/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 24/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [12:00:00 24/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [12:00:00 24/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 24/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [12:00:00 24/11/2016] tf: [10:00:00 26/11/2016] dt: 2760 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [12:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [12:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [12:00:00 24/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [11:00:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 24/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 24/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [13:00:00 24/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [13:00:00 24/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [13:00:00 24/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [13:00:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 46 u1: BPM st: NotStopd t0: [14:00:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 24/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 24/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [14:00:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [14:00:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [14:00:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [14:00:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:00:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [13:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [13:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [14:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [14:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [14:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [14:00:00 24/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [14:00:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 24/11/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [16:00:00 24/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 24/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 24/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 24/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [16:00:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [16:00:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [16:00:00 24/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 24/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [16:00:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 35 u1: BPM st: NotStopd t0: [16:00:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 24/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 24/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [16:00:00 24/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [16:00:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [15:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [15:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [16:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [16:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [16:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [16:00:00 24/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [16:00:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 24/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 24/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 24/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [14:00:00 24/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 24/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 24/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [14:00:00 24/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Logroll st: NotStopd t0: [16:00:00 24/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 24/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 24/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 24/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 24/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 24/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [16:00:00 24/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 24/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 24/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 24/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 24/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 24/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 24/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 24/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [16:00:00 24/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [16:00:00 24/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 24/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [16:00:00 24/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 24/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [16:00:00 24/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 24/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 24/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 24/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 24/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 24/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 24/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 24/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 24/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 24/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 24/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 24/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 24/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 24/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 24/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 24/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [16:00:00 24/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 24/11/2016] id: PresSoreStage/Heal#1 el: 0 cu: CSRU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [16:00:00 24/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [16:00:00 24/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [16:00:00 24/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [16:00:00 24/11/2016] id: PressSore Drng/Amt#1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 24/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 24/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 24/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 24/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 24/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 24/11/2016] id: PressSoreWoundBase#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [16:00:00 24/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [16:00:00 24/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [16:00:00 24/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [16:00:00 24/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 24/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 24/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 24/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 24/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 24/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 24/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 24/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 24/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 24/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 24/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 24/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 24/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [16:00:00 24/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Logroll st: NotStopd t0: [16:00:00 24/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 24/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 24/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 24/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 24/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 24/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 24/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 24/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 24/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [16:00:00 24/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 24/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [16:00:00 24/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 24/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [16:00:00 24/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [16:00:00 24/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd
t0: [12:00:00 24/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 100 vu: ml t0: [16:00:00 24/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 100 vu: ml t0: [16:00:00 24/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 20 vu: ml
t0: [15:33:00 24/11/2016] id: PT el: 0 cu: CSRU cg: RN v1: 69.6 rs: Final st: NotStopd t0: [15:33:00 24/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: RN v1: 69.6 rs: Final st: NotStopd t0: [15:49:00 24/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd t0: [15:49:00 24/11/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.05 rs: Final st: NotStopd t0: [15:49:00 24/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd
t0: [17:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [17:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [17:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [17:00:00 24/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [15:33:00 24/11/2016] id: INR Coags el: 0 cu: CSRU cg: RN v1: 32 rs: Final st: NotStopd t0: [15:33:00 24/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: RN v1: 32 rs: Final st: NotStopd t0: [17:30:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:30:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:30:00 24/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:30:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:30:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 132 u1: BPM st: NotStopd t0: [17:30:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [17:30:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [17:30:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [17:30:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:30:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [17:30:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:30:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:30:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:45:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:45:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:45:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:45:00 24/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:45:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:45:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 125 u1: BPM st: NotStopd t0: [17:45:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [17:45:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [17:45:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [17:45:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:45:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [17:45:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:45:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:45:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 24/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 24/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 128 u1: BPM st: NotStopd t0: [18:00:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [18:00:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [18:00:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 24/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 172 rs: Manual st: NotStopd
t0: [18:00:00 24/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 40 vu: ml t0: [18:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [18:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [18:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [18:00:00 24/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 230 vu: ml
t0: [17:30:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:45:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 24/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 830 ap: none
t0: [18:15:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:15:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:15:00 24/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:15:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:15:00 24/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:15:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:15:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 125 u1: BPM st: NotStopd t0: [18:15:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [18:15:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:15:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [18:15:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:15:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [18:15:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [18:15:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:15:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:15:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:33:00 24/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: no data rs: Final st: NotStopd t0: [15:33:00 24/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: no data rs: Final st: NotStopd
t0: [18:30:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:30:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 24/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:30:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:30:00 24/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:30:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:30:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 122 u1: BPM st: NotStopd t0: [18:30:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [18:30:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [18:30:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [18:30:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:30:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [18:30:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [18:30:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:30:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 24/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 24/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 127 u1: BPM st: NotStopd t0: [19:00:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [19:00:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [19:00:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [19:00:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [19:00:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [19:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [19:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [19:00:00 24/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [19:00:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [10:00:00 25/11/2016] pt: Unit Dose rt: IV fr: ASDIR m1: Metoprolol v1: 10 u1: mg tf: [10:00:00 25/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 19 dn: 1 m1: Amiodarone HCl v1: 150 u1: mg
t0: [20:00:00 24/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 24/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 24/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 24/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [20:00:00 24/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 24/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 24/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 24/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 24/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 131 u1: BPM st: NotStopd t0: [20:00:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 24/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:00:00 24/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [20:00:00 24/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [20:00:00 24/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 24/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 24/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 24/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 24/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 24/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 24/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 24/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 24/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 24/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 24/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:00:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [20:00:00 24/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 24/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 24/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [20:00:00 24/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 24/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 24/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 24/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [20:00:00 24/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 24/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [20:00:00 24/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 24/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 24/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 24/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 24/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 24/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 24/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 24/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 24/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 24/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 24/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 24/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 24/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 24/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 20 vu: ml t0: [20:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [20:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [20:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [20:00:00 24/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [20:00:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 129 u1: BPM st: NotStopd t0: [21:00:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [21:00:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [21:00:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [21:00:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 119 u1: BPM st: NotStopd t0: [22:00:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [22:00:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 79.6667 u1: mmHg st: NotStopd t0: [22:00:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [22:00:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [21:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [21:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [22:00:00 24/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [22:00:00 24/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [22:00:00 24/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [22:00:00 24/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [21:00:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [10:00:00 25/11/2016] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 22 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [23:00:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 117 u1: BPM st: NotStopd t0: [23:00:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [23:00:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 39.6667 u1: mmHg st: NotStopd t0: [23:00:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [23:00:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:15:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:15:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:15:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:15:00 24/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [23:15:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [23:15:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 115 u1: BPM st: NotStopd t0: [23:15:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [23:15:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:15:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 55.3333 u1: mmHg st: NotStopd t0: [23:15:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:15:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [23:15:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:15:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:15:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:30:00 24/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:30:00 24/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 24/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:30:00 24/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [23:30:00 24/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [23:30:00 24/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 118 u1: BPM st: NotStopd t0: [23:30:00 24/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [23:30:00 24/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [23:30:00 24/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [23:30:00 24/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:30:00 24/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [23:30:00 24/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:30:00 24/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:30:00 24/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:15:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:30:00 24/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [06:00:00 25/11/2016] pt: IV Piggyback rt: IV fr: INFUSION m1: Amiodarone HCl v1: 600 u1: mg m2: D5W (EXCEL BAG) v2: 250 u2: ml tf: [10:00:00 25/11/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 0 dn: 1 m1: Amiodarone HCl v1: 150 u1: mg m2: D5W v2: 50 u2: ml tf: [10:00:00 25/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 0 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [22:00:00 24/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [22:00:00 24/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [00:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 113 u1: BPM st: NotStopd t0: [00:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [00:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 46.6667 u1: mmHg st: NotStopd t0: [00:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [00:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 33 u1: BPM st: NotStopd t0: [00:00:00 25/11/2016] id: Significant Events el: 0 cu: CSRU cg: RN v1: Cardioversion st: NotStopd t0: [00:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:30:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:30:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:30:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:30:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:30:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [00:30:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:30:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [00:30:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 49.3333 u1: mmHg st: NotStopd t0: [00:30:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:30:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.8 u1: kg st: NotStopd t0: [00:30:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:30:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [00:30:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:30:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
id: Amiodarone el: 200 cu: CSRU cg: RN io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions am: 600 du: mgmin rt: IV Drip
id: D5W el: 2 cu: CSRU cg: RN io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [00:00:00 25/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 15.6 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 15.6 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 34.1 u1: % rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 422 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.94 u1: /mic l rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 15.6 rs: Final st: NotStopd
t0: [00:00:00 25/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 55.3 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 55.3 rs: Final st: NotStopd
t0: [01:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [01:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 60.3333 u1: mmHg st: NotStopd t0: [01:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [01:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:30:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:30:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:30:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:30:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:30:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:30:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [01:30:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [01:30:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:30:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:30:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:30:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 34 vu: ml t0: [00:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 160 vu: ml t0: [00:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml t0: [01:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [01:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [01:00:00 25/11/2016] tf: [12:01:00 26/11/2016] dt: 2101 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml nb: 1 t0: [01:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml
t0: [00:00:00 25/11/2016] tf: [12:00:00 26/11/2016] dt: 2160 id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:30:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 25/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 225 rs: Manual st: NotStopd
t0: [20:00:00 24/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 24/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 24/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 24/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 24/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 24/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 24/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 24/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 24/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 24/11/2016] id: ROM el: 0 cu: CSRU cg: RN v1: Passive st: NotStopd t0: [21:00:00 24/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 24/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [21:00:00 24/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 24/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 24/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 24/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [23:00:00 24/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 24/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 24/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 24/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 24/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [23:00:00 24/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 24/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 25/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [00:00:00 25/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [01:00:00 25/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [01:00:00 25/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 25/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 25/11/2016] id: Position el: 0 cu: CSRU cg: RN st: NotStopd t0: [01:00:00 25/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 25/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [01:00:00 25/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd
t0: [22:00:00 24/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 24/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [22:00:00 24/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 24/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [22:00:00 24/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Movement/Turning st: NotStopd t0: [22:00:00 24/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Shoulder st: NotStopd t0: [22:00:00 24/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [22:00:00 24/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Dull st: NotStopd t0: [00:00:00 25/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 25/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [00:00:00 25/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 25/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 25/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [00:00:00 25/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 25/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 25/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 25/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 25/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 25/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [00:00:00 25/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 25/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 25/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 25/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 25/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 25/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 25/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 25/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 25/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 25/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 25/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 25/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 25/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 25/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Red, Unbroken st: NotStopd t0: [00:00:00 25/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Through Dermis st: NotStopd t0: [00:00:00 25/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [00:00:00 25/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 25/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 25/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 25/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [00:00:00 25/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [00:00:00 25/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 25/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 25/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 25/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 25/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 25/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 25/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 25/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 25/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 25/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 25/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 25/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 25/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 25/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 25/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [00:00:00 25/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 38 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 90 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 38 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 90 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd
tf: [10:00:00 25/11/2016] pt: Unit Dose rt: IV fr: ONCE fs: 2 dn: 1 m1: Midazolam HCl v1: 2-4 u1: mg
t0: [02:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [02:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [02:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 55.6667 u1: mmHg st: NotStopd t0: [02:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [02:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [02:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [02:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [02:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [02:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 120 cv: 120 ap: none t0: [23:00:00 25/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 44.5 cv: 44.5 ap: none t0: [23:00:00 25/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 34.5 cv: 1212.5 ap: none t0: [23:00:00 25/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 164.5 cv: 4332.5 ap: none t0: [23:00:00 25/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 80 cv: 2000 ap: none t0: [23:00:00 25/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 120 cv: 3310 ap: none t0: [23:00:00 25/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 44.5 cv: 1022.5 ap: carryForward t0: [23:00:00 25/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 120 cv: 3310 ap: carryForward t0: [23:00:00 25/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 44.5 cv: -7549.78 ap: carryForward
t0: [03:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [03:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 56.3333 u1: mmHg st: NotStopd t0: [03:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [03:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [04:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [04:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [03:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [03:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [03:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [04:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [04:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [04:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [04:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [04:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [03:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [05:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [05:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 62.3333 u1: mmHg st: NotStopd t0: [05:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 7 u1: BPM st: NotStopd t0: [05:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 25/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [05:00:00 25/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [05:00:00 25/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [05:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [06:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [06:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73.3333 u1: mmHg st: NotStopd t0: [06:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 0 u1: BPM st: NotStopd t0: [06:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [05:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [05:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [05:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [05:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [05:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 25/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Golden v2: Formed st: NotStopd t0: [01:00:00 25/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 25/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 25/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 25/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 25/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 25/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 25/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [04:00:00 25/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 25/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 25/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [04:00:00 25/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 25/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 25/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 25/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 25/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 25/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [04:00:00 25/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [04:00:00 25/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [04:00:00 25/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 25/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 25/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 25/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 25/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 25/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 25/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 25/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 25/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 25/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 25/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 25/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Red, Unbroken st: NotStopd t0: [04:00:00 25/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [04:00:00 25/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 25/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 25/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [04:00:00 25/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 25/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 25/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 25/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 25/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 25/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 25/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 25/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 25/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 25/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 25/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 25/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 25/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 25/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 25/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [05:00:00 25/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [05:00:00 25/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 25/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 25/11/2016] id: Position el: 0 cu: CSRU cg: RN st: NotStopd t0: [05:00:00 25/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [05:00:00 25/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 25/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 25/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 25/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [06:00:00 25/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [00:00:00 25/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.4 rs: Final st: NotStopd t0: [00:00:00 25/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.4 rs: Final st: NotStopd t0: [05:00:00 25/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 176 rs: Manual st: NotStopd
t0: [06:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [06:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [06:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [06:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [06:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [06:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
tf: [10:00:00 26/11/2016] pt: IV Piggyback rt: IV fr: INFUSION m1: Amiodarone HCl v1: 600 u1: mg m2: D5W (EXCEL BAG) v2: 250 u2: ml
t0: [07:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [07:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [07:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [07:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [07:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [07:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [07:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [07:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [07:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [07:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 25/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 25/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 25/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 25/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 25/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 25/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [08:00:00 25/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [08:00:00 25/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [08:00:00 25/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 25/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 25/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 25/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 25/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 25/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 25/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [08:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 25/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 25/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [08:00:00 25/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 25/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [08:00:00 25/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [08:00:00 25/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 25/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 25/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 25/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [08:00:00 25/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 25/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 25/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 25/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 25/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 25/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 25/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 25/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [08:00:00 25/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 25/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 25/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Shoulder st: NotStopd t0: [08:00:00 25/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: Repositioned st: NotStopd t0: [08:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 25/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Red, Unbroken st: NotStopd t0: [08:00:00 25/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 25/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [08:00:00 25/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 25/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 25/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [08:00:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [08:00:00 25/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 25/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 25/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 25/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 25/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [08:00:00 25/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 25/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 25/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 25/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 25/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 25/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 25/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 25/11/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.74885 u1: m2 st: NotStopd t0: [08:00:00 25/11/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 2.02696 u1: m2 st: NotStopd t0: [08:00:00 25/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 25/11/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [08:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 25/11/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [08:00:00 25/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Cooperative st: NotStopd t0: [08:00:00 25/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [09:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 25/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 25/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 25/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [09:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [09:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 25/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN st: NotStopd t0: [09:00:00 25/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 25/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [09:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 59.3333 u1: mmHg st: NotStopd t0: [09:00:00 25/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 25/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [09:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 25/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 25/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 25/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [08:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [08:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [08:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [08:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [09:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [09:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [09:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [09:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [09:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [08:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [14:00:00 27/11/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Warfarin v1: 1 u1: dose
t0: [08:00:00 25/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 25/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [10:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [10:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [10:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 58.6667 u1: mmHg st: NotStopd t0: [10:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [10:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [10:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [11:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [11:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [11:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [11:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [10:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [10:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [10:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [11:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [11:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [11:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [11:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [11:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [10:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 25/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 25/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [08:00:00 25/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [10:00:00 25/11/2016] id: Trach Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 25/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 25/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [11:00:00 25/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd
t0: [08:00:00 25/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [11:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 25/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 25/11/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [12:00:00 25/11/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [12:00:00 25/11/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/11/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [12:00:00 25/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [12:00:00 25/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 25/11/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 25/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 25/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 25/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 25/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 25/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [12:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 25/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [12:00:00 25/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [12:00:00 25/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 25/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [12:00:00 25/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 25/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [12:00:00 25/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [12:00:00 25/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 25/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 25/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 25/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 25/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 25/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 25/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 25/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 25/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 25/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 25/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [12:00:00 25/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 25/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 25/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 25/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Red, Unbroken st: NotStopd t0: [12:00:00 25/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 25/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 25/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 25/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 25/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [12:00:00 25/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 25/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [12:00:00 25/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 25/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 25/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 25/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 25/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 25/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 25/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 25/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 25/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 25/11/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [12:00:00 25/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 25/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 25/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [12:00:00 25/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [12:00:00 25/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [12:00:00 25/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 25/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 25/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 25/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 25/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [12:00:00 25/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [12:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [12:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [12:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [12:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [12:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [12:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 25/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 25/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 25/11/2016] id: Position el: 0 cu: CSRU cg: RN st: NotStopd t0: [12:00:00 25/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [12:00:00 25/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Large
t0: [11:20:00 25/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 150 rs: Final st: NotStopd t0: [11:20:00 25/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [11:20:00 25/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [11:20:00 25/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 150 rs: Final st: NotStopd t0: [11:20:00 25/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [11:20:00 25/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd
t0: [13:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [13:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [13:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [13:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [13:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [13:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [13:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [13:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [11:20:00 25/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 58.3 rs: Final st: NotStopd t0: [11:20:00 25/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 58.3 rs: Final st: NotStopd
t0: [13:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [14:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 69.3333 u1: mmHg st: NotStopd t0: [14:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [14:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [14:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [14:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [14:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [14:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [14:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [15:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [15:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [15:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [15:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [15:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 25/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 25/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 25/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 25/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 25/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 25/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [16:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 25/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [16:00:00 25/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [16:00:00 25/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [16:00:00 25/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 25/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 25/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 25/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 25/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [16:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [16:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 80.6667 u1: mmHg st: NotStopd t0: [16:00:00 25/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 25/11/2016] id: Position el: 0 cu: CSRU cg: RN st: NotStopd t0: [16:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [16:00:00 25/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 25/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 25/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 25/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 25/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 25/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 25/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 25/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 25/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 25/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 127 rs: Manual st: NotStopd
t0: [12:00:00 25/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [16:00:00 25/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [16:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 34 vu: ml t0: [16:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [16:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [16:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 160 vu: ml t0: [16:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [16:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [19:00:00 28/11/2016] pt: Unit Dose rt: PO fr: Q24H fs: 18 dn: 1 m1: Fluconazole v1: 400 u1: mg
t0: [16:00:00 25/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [17:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [17:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [17:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [17:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [17:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [17:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 25/11/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [18:00:00 25/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 25/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [18:00:00 25/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [18:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 25/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 25/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [18:00:00 25/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Pink st: NotStopd t0: [18:00:00 25/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 25/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 25/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [18:00:00 25/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [18:00:00 25/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [18:00:00 25/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [18:00:00 25/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [18:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [18:00:00 25/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [18:00:00 25/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 25/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Red, Unbroken st: NotStopd t0: [18:00:00 25/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [18:00:00 25/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [18:00:00 25/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [18:00:00 25/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [18:00:00 25/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [18:00:00 25/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [18:00:00 25/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [18:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 25/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 25/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 25/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [18:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 25/11/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [18:00:00 25/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 25/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [18:00:00 25/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [17:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [17:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [17:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [17:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [18:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [18:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [18:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [18:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [18:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml t0: [19:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [19:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [19:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [19:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [19:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml
t0: [17:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [19:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [19:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [19:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [19:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [19:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd
t0: [17:00:00 25/11/2016] id: Trach Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [18:00:00 25/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Small
t0: [23:00:00 25/11/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [20:00:00 25/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 25/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 25/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 25/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 25/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 25/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 25/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 25/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 25/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 25/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [20:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 25/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:00:00 25/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [20:00:00 25/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 25/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [20:00:00 25/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 25/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 25/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 25/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 25/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 25/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 25/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 25/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 25/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 25/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 25/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 25/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [20:00:00 25/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 25/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 25/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Red, Unbroken st: NotStopd t0: [20:00:00 25/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [20:00:00 25/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 25/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 25/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [20:00:00 25/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 25/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [20:00:00 25/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 25/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 25/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 25/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 25/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 25/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 25/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 25/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 25/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 25/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 25/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 25/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 25/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [20:00:00 25/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 25/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 25/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 25/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 25/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 25/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 80 vu: ml t0: [20:00:00 25/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [20:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [20:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [20:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [20:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [20:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [20:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 25/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 25/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 25/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [20:00:00 25/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 25/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 25/11/2016] id: ROM el: 0 cu: CSRU cg: RN v1: Active v2: All Extremities st: NotStopd t0: [20:00:00 25/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd
t0: [21:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 25/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 25/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [21:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [21:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [21:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [21:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [21:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [21:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [21:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [21:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [21:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [20:00:00 26/11/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 21 dn: 1 m1: Ceftazidime v1: 1 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml tf: [20:00:00 26/11/2016] pt: Unit Dose rt: PO fr: ONCE fs: 21 dn: 1 m1: Warfarin v1: 5 u1: mg
t0: [20:00:00 25/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 25/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 25/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd
t0: [22:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 25/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 25/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 25/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [22:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 25/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 25/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 25/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 25/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [22:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 25/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [22:00:00 25/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [22:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [22:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [22:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [22:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [22:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 25/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 25/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [22:00:00 25/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [22:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [22:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [22:00:00 25/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [22:00:00 25/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [22:00:00 25/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:00:00 25/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [22:00:00 25/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [22:00:00 25/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 172 rs: Manual st: NotStopd
t0: [23:00:00 25/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 25/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 25/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 25/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 25/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 25/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 25/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [23:00:00 25/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 25/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [23:00:00 25/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [23:00:00 25/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 25/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [23:00:00 25/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [23:00:00 25/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 25/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 25/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 50 vu: ml t0: [23:00:00 25/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [23:00:00 25/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [23:00:00 25/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [23:00:00 25/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [23:00:00 25/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [23:00:00 25/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 25/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN pv: 50 cv: 1120 ap: none
t0: [00:00:00 26/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Changed st: NotStopd t0: [00:00:00 26/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 26/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 26/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 26/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 26/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 26/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 26/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 26/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 26/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [00:00:00 26/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 26/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 26/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 26/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 26/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [00:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 26/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 26/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [00:00:00 26/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 26/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [00:00:00 26/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 26/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 26/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 26/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Pink st: NotStopd t0: [00:00:00 26/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 26/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 26/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 26/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [00:00:00 26/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [00:00:00 26/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 26/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 26/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 26/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 26/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 26/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 26/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 26/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [00:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [00:00:00 26/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [00:00:00 26/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 26/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 26/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 26/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 26/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Red, Unbroken st: NotStopd t0: [00:00:00 26/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [00:00:00 26/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 26/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 26/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 26/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [00:00:00 26/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 26/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [00:00:00 26/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 26/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 26/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 26/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 26/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 26/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 26/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 26/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 26/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 26/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 26/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 26/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [00:00:00 26/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [00:00:00 26/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [00:00:00 26/11/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [00:00:00 26/11/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [00:00:00 26/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 26/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 26/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 26/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 26/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [00:00:00 26/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 26/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [00:00:00 26/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 26/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 26/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 26/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 26/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [00:15:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:15:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:15:00 26/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:15:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:15:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:15:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:15:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [00:15:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:15:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [00:15:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [00:15:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:15:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [00:15:00 26/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [00:15:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:15:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 26/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [00:00:00 26/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [00:00:00 26/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [00:00:00 26/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [00:00:00 26/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [00:00:00 26/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:15:00 26/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:15:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 26/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [01:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [01:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [01:00:00 26/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [01:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 26/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [01:00:00 26/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [01:00:00 26/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [01:00:00 26/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [01:00:00 26/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [01:00:00 26/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 26/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [02:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [02:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [02:00:00 26/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 26/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [02:00:00 26/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [02:00:00 26/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [02:00:00 26/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 80 vu: ml t0: [02:00:00 26/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [02:00:00 26/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 26/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 45 cv: 45 ap: none t0: [23:00:00 26/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 245 cv: 245 ap: none t0: [23:00:00 26/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 120 cv: 852.5 ap: none t0: [23:00:00 26/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 290 cv: 2232.5 ap: none t0: [23:00:00 26/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 120 cv: 1280 ap: none t0: [23:00:00 26/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 45 cv: 3035 ap: none t0: [23:00:00 26/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 245 cv: -802.5 ap: none t0: [23:00:00 26/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 45 cv: 3035 ap: none t0: [23:00:00 26/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 245 cv: -8352.28 ap: carryForward
t0: [09:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [09:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [09:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [09:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 26/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 119 vu: ml t0: [09:00:00 26/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 35 vu: ml t0: [09:00:00 26/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 87.5 vu: ml t0: [09:00:00 26/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [09:00:00 26/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [10:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [10:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 26/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 560 vu: ml st: Stopped t0: [10:00:00 26/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [10:00:00 26/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [10:00:00 26/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml
t0: [10:00:00 26/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 26/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 26/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 26/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 26/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 26/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 26/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 26/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 26/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 26/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Pink st: NotStopd t0: [08:00:00 26/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 26/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 26/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 26/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 26/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 26/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 26/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 26/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 26/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 26/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 26/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 26/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 26/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 26/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Red, Unbroken st: NotStopd t0: [08:00:00 26/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 26/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 26/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 26/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 26/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [08:00:00 26/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 26/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 26/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 26/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 26/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 26/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 26/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 26/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 26/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 26/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 26/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 26/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 26/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 26/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [09:00:00 26/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 26/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 26/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 26/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 26/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [10:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [10:00:00 26/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 26/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 26/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 26/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 26/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [10:00:00 26/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [11:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 26/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [11:00:00 26/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [11:00:00 26/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [11:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [11:00:00 26/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [11:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 26/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [11:00:00 26/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [11:00:00 26/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [11:00:00 26/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [11:00:00 26/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:56:00 26/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 16.1 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 16.1 rs: Final st: NotStopd
t0: [02:56:00 26/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 150 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 150 rs: Final st: NotStopd
t0: [02:56:00 26/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.5 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 10.5 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 32.6 u1: % rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 284 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.64 u1: /mic l rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.5 rs: Final st: NotStopd
t0: [11:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [11:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75.6667 u1: mmHg st: NotStopd
t0: [12:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [12:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [12:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [12:00:00 26/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 26/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [12:00:00 26/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [12:00:00 26/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [12:00:00 26/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [12:00:00 26/11/2016] id: Amiodarone el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [12:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:01:00 26/11/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 2 cu: CSRU cg: -1 ai: 304 vo: 0 st: D/C'd
t0: [12:00:00 26/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 26/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 26/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 26/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 26/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 26/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 26/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 26/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 26/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [12:00:00 26/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 26/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [12:00:00 26/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 26/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Pink st: NotStopd t0: [12:00:00 26/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 26/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 26/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 26/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 26/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 26/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 26/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 26/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 26/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 26/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 26/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 26/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 26/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 26/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 26/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [12:00:00 26/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 26/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Red, Unbroken st: NotStopd t0: [12:00:00 26/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 26/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 26/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 26/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 26/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [12:00:00 26/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 26/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 26/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 26/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 26/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 26/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 26/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 26/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 26/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 26/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 26/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 26/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:00:00 26/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [12:00:00 26/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [12:00:00 26/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 26/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 26/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 26/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 26/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [10:36:00 26/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 26.5 rs: Final st: NotStopd t0: [10:36:00 26/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 26.5 rs: Final st: NotStopd
t0: [10:36:00 26/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 197 rs: Final st: NotStopd t0: [10:36:00 26/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [10:36:00 26/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 197 rs: Final st: NotStopd t0: [10:36:00 26/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd
t0: [13:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [13:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [13:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [13:00:00 26/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 26/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [13:00:00 26/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [13:00:00 26/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml
t0: [13:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:56:00 26/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 90 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 207 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.2 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 90 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 207 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.2 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd
t0: [14:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [14:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [14:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [14:00:00 26/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:56:00 26/11/2016] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.5 u1: mg/dl rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.5 u1: mg/dl rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [02:56:00 26/11/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 u1: mEq/L rs: Final st: NotStopd
tf: [19:00:00 28/11/2016] pt: Unit Dose rt: IV fr: TID fs: 08, 16, 22 dn: 3 m1: Furosemide v1: 60 u1: mg
t0: [15:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [15:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [15:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [15:00:00 26/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 36 u1: BPM st: NotStopd t0: [15:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [16:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [16:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [16:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [16:00:00 26/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [17:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [17:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 59.3333 u1: mmHg st: NotStopd t0: [17:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [17:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [18:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [18:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [18:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [18:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 26/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [18:00:00 26/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [18:00:00 26/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [18:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 26/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [15:00:00 26/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [16:00:00 26/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [17:00:00 26/11/2016] tf: [15:18:00 28/11/2016] dt: 2778 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 60 vu: ml t0: [17:00:00 26/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 20 vu: ml t0: [17:00:00 26/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 500 vu: ml t0: [18:00:00 26/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15 vu: ml t0: [18:00:00 26/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [18:00:00 26/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [16:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 26/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [19:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [19:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [19:00:00 26/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 26/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 30 vu: ml t0: [20:00:00 26/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml
t0: [19:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 26/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 26/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 26/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 26/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 26/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 26/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 26/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 26/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 26/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 26/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [20:00:00 26/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 26/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 26/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 26/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 26/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [20:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 26/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:00:00 26/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [20:00:00 26/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [20:00:00 26/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 26/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 26/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 26/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [20:00:00 26/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 26/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 26/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 26/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 26/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 26/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 26/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 26/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 26/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [20:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [20:00:00 26/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [20:00:00 26/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 26/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 26/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 26/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 26/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [20:00:00 26/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 26/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 26/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 26/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [20:00:00 26/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 26/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [20:00:00 26/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 26/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 26/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 26/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 26/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 26/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 8 u1: BPM st: NotStopd t0: [20:00:00 26/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 26/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 26/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 26/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 26/11/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [20:00:00 26/11/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 26/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 26/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [20:00:00 26/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [20:00:00 26/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [20:00:00 26/11/2016] id: Trach Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 26/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 26/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 26/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 26/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 26/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 26/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 26/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 26/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [20:00:00 26/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 26/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 26/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 26/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [20:00:00 26/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd
t0: [20:00:00 26/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 50 vu: ml t0: [20:00:00 26/11/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [20:00:00 26/11/2016] tf: [06:00:00 27/11/2016] dt: 600 id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 120 vu: ml t0: [20:00:00 26/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [20:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 26/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [21:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [21:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [21:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [21:00:00 26/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 26/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15 vu: ml t0: [21:00:00 26/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [21:00:00 26/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [21:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 26/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 151 rs: Manual st: NotStopd
t0: [22:00:00 26/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [22:00:00 26/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 26/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [22:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 26/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 26/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 26/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [22:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 26/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [22:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 26/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 26/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 26/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Movement/Turning st: NotStopd t0: [22:00:00 26/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [22:00:00 26/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [22:00:00 26/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [22:00:00 26/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [22:00:00 26/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 26/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [22:00:00 26/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 26/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [22:00:00 26/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 26/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 120 vu: ml t0: [22:00:00 26/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15 vu: ml t0: [22:00:00 26/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [22:00:00 26/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 120 vu: ml t0: [22:00:00 26/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [22:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [19:00:00 28/11/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Amiodarone HCl v1: 400 u1: mg
t0: [22:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 64.6667 u1: mmHg st: NotStopd
t0: [20:55:00 26/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [20:55:00 26/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [20:55:00 26/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [20:55:00 26/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd
t0: [20:55:00 26/11/2016] id: PTT Coags el: 0 cu: CSRU cg: RN v1: 43.8 rs: Final st: NotStopd t0: [20:55:00 26/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: RN v1: 43.8 rs: Final st: NotStopd
t0: [23:00:00 26/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 26/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 26/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 26/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 26/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 26/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 26/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 26/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [23:00:00 26/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 26/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:00:00 26/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [23:00:00 26/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 26/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [23:00:00 26/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 26/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 26/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 26/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15 vu: ml t0: [23:00:00 26/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [23:00:00 26/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 120 vu: ml t0: [23:00:00 26/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [00:00:00 27/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 27/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 27/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 27/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 27/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 27/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 27/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 27/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 27/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 27/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [00:00:00 27/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 27/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 27/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 27/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 27/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [00:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 27/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 27/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [00:00:00 27/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 27/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [00:00:00 27/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 27/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 27/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 27/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 27/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 27/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 27/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 27/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 27/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 27/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 27/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 27/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 27/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 27/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 27/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [00:00:00 27/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [00:00:00 27/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 27/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 27/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [00:00:00 27/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 27/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [00:00:00 27/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 27/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 27/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 27/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 27/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [00:00:00 27/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 27/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [00:00:00 27/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 27/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 27/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 27/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 27/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [00:00:00 27/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 27/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 27/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 27/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 27/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [00:00:00 27/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [00:00:00 27/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 27/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 27/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 27/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [00:00:00 27/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [00:00:00 27/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 27/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [00:00:00 27/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 27/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 27/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 27/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [00:00:00 27/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd
t0: [23:00:00 26/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 50 vu: ml t0: [00:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15.5 vu: ml t0: [00:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [00:00:00 27/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 120 vu: ml t0: [00:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [00:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 26/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN pv: 50 cv: 100 ap: none
t0: [01:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 27/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [01:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [01:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [01:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [01:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15.5 vu: ml t0: [01:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [01:00:00 27/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 120 vu: ml t0: [01:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [01:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 27/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [02:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 60.6667 u1: mmHg st: NotStopd t0: [02:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [02:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [02:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15.5 vu: ml t0: [02:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [02:00:00 27/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 120 vu: ml t0: [02:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [02:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 27/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [03:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [03:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [03:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [03:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15.5 vu: ml t0: [03:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [03:00:00 27/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 120 vu: ml t0: [03:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [03:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 27/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 27/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN cv: 471.5 ap: none t0: [23:00:00 27/11/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN cv: 1541.5 ap: none t0: [23:00:00 27/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN cv: 960 ap: none t0: [23:00:00 27/11/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN cv: 3275 ap: none t0: [23:00:00 27/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN cv: -1733.5 ap: none t0: [23:00:00 27/11/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN cv: 3275 ap: none t0: [23:00:00 27/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN cv: -10085.8 ap: carryForward
t0: [00:00:00 27/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [04:00:00 27/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 27/11/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [04:00:00 27/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 27/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [04:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 27/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 27/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 27/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 27/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 27/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 27/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 27/11/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 27/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 27/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [04:00:00 27/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 27/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 27/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 27/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 27/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [04:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 27/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [04:00:00 27/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [04:00:00 27/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 27/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [04:00:00 27/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 27/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [04:00:00 27/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 27/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [04:00:00 27/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 27/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 27/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 27/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [04:00:00 27/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 27/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 27/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 27/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 27/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 27/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 27/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 27/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [04:00:00 27/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [04:00:00 27/11/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 27/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 27/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 27/11/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Movement/Turning st: NotStopd t0: [04:00:00 27/11/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [04:00:00 27/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Arm st: NotStopd t0: [04:00:00 27/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [04:00:00 27/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [04:00:00 27/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 27/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 27/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [04:00:00 27/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 27/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 27/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 27/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 27/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [04:00:00 27/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 27/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 27/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 136.6 u1: kg st: NotStopd t0: [04:00:00 27/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [04:00:00 27/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 27/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 27/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 27/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 27/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 27/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 27/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 27/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [04:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 27/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 27/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 27/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [04:00:00 27/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [04:00:00 27/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [04:00:00 27/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 27/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 27/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 27/11/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.75095 u1: m2 st: NotStopd t0: [04:00:00 27/11/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 2.02934 u1: m2 st: NotStopd t0: [04:00:00 27/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 27/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 27/11/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0.3 u1: kg st: NotStopd t0: [04:00:00 27/11/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [04:00:00 27/11/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [04:00:00 27/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [04:00:00 27/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 27/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [04:00:00 27/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [04:00:00 27/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 27/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [04:00:00 27/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [04:00:00 27/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd
t0: [04:00:00 27/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 50 vu: ml t0: [04:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15.5 vu: ml t0: [04:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [04:00:00 27/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 120 vu: ml t0: [04:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [04:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 27/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [05:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [05:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [05:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [05:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15.5 vu: ml t0: [05:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [05:00:00 27/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 120 vu: ml t0: [05:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [05:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:07:00 27/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.3 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 10.3 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Differential-Basos Hematology el: 0 cu: CSRU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Differential-Eos Hematology el: 0 cu: CSRU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Differential-Lymphs Hematology el: 0 cu: CSRU cg: 3161 v1: 24.4 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Differential-Monos Hematology el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Differential-Polys Hematology el: 0 cu: CSRU cg: 3161 v1: 68.1 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 35.2 u1: % rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.8 u1: gm/dl rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 330 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 4.01 u1: /mic l rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.3 rs: Final st: NotStopd
t0: [03:07:00 27/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 47.5 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 47.5 rs: Final st: NotStopd
t0: [03:07:00 27/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.4 u1: mg/dl rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 87 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 267 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.5 u1: mEq/L rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 131 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.4 u1: mg/dl rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 87 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 267 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.5 u1: mEq/L rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 131 rs: Final st: NotStopd
t0: [03:07:00 27/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.3 rs: Final st: NotStopd t0: [03:07:00 27/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.3 rs: Final st: NotStopd
t0: [06:00:00 27/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 27/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [06:00:00 27/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [06:00:00 27/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [06:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 27/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [06:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [06:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [06:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [06:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [06:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15.5 vu: ml t0: [06:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [06:00:00 27/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 0 vu: ml t0: [06:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [06:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 27/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 144 rs: Manual st: NotStopd
t0: [07:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 27/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [07:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [07:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 59.6667 u1: mmHg st: NotStopd t0: [07:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [07:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15.5 vu: ml t0: [07:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml
t0: [07:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:30:00 27/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.35 u1: torr st: NotStopd t0: [08:30:00 27/11/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:30:00 27/11/2016] id: Minimal Leak Present el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd t0: [08:30:00 27/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Aerosol-Cool st: NotStopd t0: [08:30:00 27/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 10 u1: lpm st: NotStopd t0: [08:30:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd
t0: [08:00:00 27/11/2016] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 27/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 27/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 27/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 27/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 27/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 27/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 27/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [08:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 27/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 27/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [08:00:00 27/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 27/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [08:00:00 27/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 27/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 27/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 27/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 27/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 27/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 27/11/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 27/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 27/11/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 27/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 27/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 27/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 27/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 27/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 27/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 27/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 27/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 27/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 27/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [08:00:00 27/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 27/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [08:00:00 27/11/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 27/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 27/11/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 27/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 27/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 6 u1: BPM st: NotStopd t0: [08:00:00 27/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 27/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 27/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 27/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 27/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 27/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 27/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [09:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 27/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [09:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [09:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 27/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 27/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [09:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [09:00:00 27/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [09:00:00 27/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [09:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [09:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 27/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [09:00:00 27/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 27/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 27/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 0 vu: ml st: Stopped t0: [09:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 31 vu: ml t0: [09:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [08:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [10:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [10:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 27/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [10:00:00 27/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [10:00:00 27/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [10:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [19:00:00 28/11/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Warfarin v1: 5 u1: mg
t0: [10:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd
t0: [11:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [11:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [11:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [11:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 31 vu: ml t0: [11:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [11:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [11:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 27/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 27/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 27/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 27/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 27/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 27/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 27/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [12:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 27/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 27/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [12:00:00 27/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 27/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [12:00:00 27/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 27/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 27/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 27/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 27/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 27/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 27/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 27/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 27/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 27/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [12:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [12:00:00 27/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 27/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 27/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 27/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 27/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 27/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 27/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 27/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [12:00:00 27/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 27/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [12:00:00 27/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 27/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 27/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 27/11/2016] id: Responds to Stimuli el: 0 cu: CSRU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 27/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 27/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 27/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [12:00:00 27/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 27/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 27/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 27/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15.5 vu: ml t0: [12:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [12:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [12:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [13:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [13:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [13:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15.5 vu: ml t0: [13:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [13:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [13:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:08:00 27/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [13:08:00 27/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [13:08:00 27/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [13:08:00 27/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd
t0: [13:08:00 27/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 54.9 rs: Final st: NotStopd t0: [13:08:00 27/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 54.9 rs: Final st: NotStopd
t0: [13:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [13:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [14:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [14:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [14:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [15:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [15:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [15:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [15:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [15:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [15:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 31 vu: ml t0: [15:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [15:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [15:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 27/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 27/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 27/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 27/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 27/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 27/11/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 27/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 27/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 27/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [16:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 27/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 27/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [16:00:00 27/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 27/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 27/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 27/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 27/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 27/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 27/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [16:00:00 27/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [16:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [16:00:00 27/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 27/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 27/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [16:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 27/11/2016] id: Spontaneous Movement el: 0 cu: CSRU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 27/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [16:00:00 27/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 27/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 27/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 27/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [17:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 27/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [17:00:00 27/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [17:00:00 27/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 27/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 27/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 27/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [17:00:00 27/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [17:00:00 27/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [17:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [17:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 86.6667 u1: mmHg st: NotStopd t0: [17:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [17:00:00 27/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [17:00:00 27/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 27/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [17:00:00 27/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [17:00:00 27/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [17:00:00 27/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [17:00:00 27/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [17:00:00 27/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [17:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [17:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:00:00 27/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 27/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [17:00:00 27/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [17:00:00 27/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [17:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 31 vu: ml t0: [17:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [17:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [16:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [18:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [18:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [18:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15.5 vu: ml t0: [18:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml
t0: [18:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [19:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [19:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 87.6667 u1: mmHg st: NotStopd t0: [19:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [19:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [19:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml t0: [19:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [19:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 27/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 27/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 27/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 27/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 27/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 27/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 27/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [20:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 27/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [20:00:00 27/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [20:00:00 27/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 27/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 27/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [20:00:00 27/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 27/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 27/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 27/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 27/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [20:00:00 27/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 27/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 27/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 27/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 27/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 84.6667 u1: mmHg st: NotStopd t0: [20:00:00 27/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [20:00:00 27/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 10 u1: lpm st: NotStopd t0: [20:00:00 27/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 27/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 27/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [20:00:00 27/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [20:00:00 27/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 27/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 27/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 27/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 27/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [20:00:00 27/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 27/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [20:00:00 27/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 27/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 27/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 27/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [20:00:00 27/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [20:00:00 27/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 27/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 27/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 31 vu: ml t0: [20:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [20:00:00 27/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 0 vu: ml t0: [20:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [20:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [21:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [21:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 84.6667 u1: mmHg st: NotStopd t0: [21:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [21:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [21:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15.5 vu: ml t0: [21:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [21:00:00 27/11/2016] tf: [07:00:00 28/11/2016] dt: 600 id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 120 vu: ml t0: [21:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [21:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 110 ap: none
t0: [20:31:00 27/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [20:31:00 27/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [20:31:00 27/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 25.9 rs: Final st: NotStopd t0: [20:31:00 27/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [20:31:00 27/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [20:31:00 27/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 25.9 rs: Final st: NotStopd
t0: [22:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [22:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [22:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 90.3333 u1: mmHg st: NotStopd t0: [22:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [22:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [22:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 27/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15.5 vu: ml t0: [22:00:00 27/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [22:00:00 27/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 120 vu: ml t0: [22:00:00 27/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [22:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 27/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 27/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 27/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 27/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 27/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [23:00:00 27/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 27/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [23:00:00 27/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 90.6667 u1: mmHg st: NotStopd t0: [23:00:00 27/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [23:00:00 27/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [23:00:00 27/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 27/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 27/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 28/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 28/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 28/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 28/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 28/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 28/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 28/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 28/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 28/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 28/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 28/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 28/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 28/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 28/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [00:00:00 28/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 28/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [00:00:00 28/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [00:00:00 28/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 28/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 28/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 28/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [00:00:00 28/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 28/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 28/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 28/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 28/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [00:00:00 28/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 28/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 28/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 28/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 28/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 28/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [00:00:00 28/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 83.6667 u1: mmHg st: NotStopd t0: [00:00:00 28/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [00:00:00 28/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 10 u1: lpm st: NotStopd t0: [00:00:00 28/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 28/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 28/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 28/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 28/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 28/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [00:00:00 28/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [00:00:00 28/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 28/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 28/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 28/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 28/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [00:00:00 28/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 28/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 28/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [00:00:00 28/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 28/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 28/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 28/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 28/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 28/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 28/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 28/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [00:00:00 28/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [00:00:00 28/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [00:00:00 28/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 28/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 28/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 28/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 28/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 28/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 32.5 vu: ml t0: [00:00:00 28/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 28/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 240 vu: ml t0: [00:00:00 28/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [23:00:00 27/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 28/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 28/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 28/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 28/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 28/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 28/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 28/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [01:00:00 28/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 28/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [01:00:00 28/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [01:00:00 28/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [01:00:00 28/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [01:00:00 28/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 28/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 28/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 28/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [01:00:00 28/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [01:00:00 28/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 120 vu: ml t0: [01:00:00 28/11/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Small t0: [01:00:00 28/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [01:00:00 28/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 28/11/2016] dt: 24 id: Stool Out Total el: 3 cu: -1 cg: RN cv: 0 ap: carryForward
t0: [02:00:00 28/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 28/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 28/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 28/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 28/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 28/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [02:00:00 28/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 28/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [02:00:00 28/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [02:00:00 28/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [02:00:00 28/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [02:00:00 28/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 28/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 28/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 28/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [02:00:00 28/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [02:00:00 28/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 120 vu: ml t0: [02:00:00 28/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [02:00:00 28/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 28/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 28/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 28/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 28/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 28/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 28/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [03:00:00 28/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 28/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [03:00:00 28/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 82.3333 u1: mmHg st: NotStopd t0: [03:00:00 28/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [03:00:00 28/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [03:00:00 28/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 28/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 28/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 28/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [03:00:00 28/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [03:00:00 28/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 120 vu: ml t0: [03:00:00 28/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [03:00:00 28/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 28/11/2016] dt: 1 id: Total Hourly Output el: 3 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 28/11/2016] dt: 1 id: Net Hourly Balance el: 3 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 28/11/2016] dt: 24 id: IV Infusion In Total el: 3 cu: -1 cg: RN cv: 459 ap: none t0: [23:00:00 28/11/2016] dt: 24 id: 24h Total In el: 3 cu: -1 cg: RN cv: 2039 ap: none t0: [23:00:00 28/11/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: -1 cg: RN cv: 1080 ap: none t0: [23:00:00 28/11/2016] dt: 24 id: Urine Out Total el: 3 cu: -1 cg: RN cv: 2700 ap: none t0: [23:00:00 28/11/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: -1 cg: RN cv: -661 ap: carryForward t0: [23:00:00 28/11/2016] dt: 24 id: 24h Total Out el: 3 cu: -1 cg: RN cv: 2700 ap: carryForward t0: [23:00:00 28/11/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: -1 cg: RN cv: -10746.8 ap: carryForward
t0: [22:00:00 27/11/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 223 rs: Manual st: NotStopd t0: [00:00:00 28/11/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 28/11/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 28/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 28/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 28/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 28/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 28/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 28/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 28/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 28/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 28/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 28/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 28/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 28/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 28/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 28/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [04:00:00 28/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 28/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [04:00:00 28/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [04:00:00 28/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 28/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 28/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 28/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 28/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [04:00:00 28/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 28/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 28/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 28/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 28/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [04:00:00 28/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 28/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 28/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 28/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 28/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 28/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 28/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [04:00:00 28/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [04:00:00 28/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 10 u1: lpm st: NotStopd t0: [04:00:00 28/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 28/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 28/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [04:00:00 28/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [04:00:00 28/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Burning st: NotStopd t0: [04:00:00 28/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 28/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 28/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [04:00:00 28/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [04:00:00 28/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 28/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 28/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 28/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 28/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [04:00:00 28/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 28/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 28/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [04:00:00 28/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 28/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 28/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 28/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 28/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 28/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 28/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 28/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 28/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 28/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [04:00:00 28/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 28/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 28/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 28/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 28/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 28/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 17 vu: ml t0: [04:00:00 28/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [04:00:00 28/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 120 vu: ml t0: [04:00:00 28/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [04:00:00 28/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:57:00 28/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 11 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 35.2 u1: % rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.9 u1: gm/dl rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 303 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 4.01 u1: /mic l rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11 rs: Final st: NotStopd
t0: [03:57:00 28/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 14.8 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 52.5 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.8 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 52.5 rs: Final st: NotStopd
t0: [03:57:00 28/11/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 90 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 176 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 90 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 176 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd
t0: [03:57:00 28/11/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.6 rs: Final st: NotStopd t0: [03:57:00 28/11/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.6 rs: Final st: NotStopd t0: [05:00:00 28/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 28/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 28/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 28/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 28/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 28/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [05:00:00 28/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 28/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [05:00:00 28/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 28/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:00:00 28/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [05:00:00 28/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 28/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 28/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 28/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:30:00 28/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:30:00 28/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:30:00 28/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:30:00 28/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:30:00 28/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:30:00 28/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [05:30:00 28/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:30:00 28/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [05:30:00 28/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:30:00 28/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [05:30:00 28/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [05:30:00 28/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:30:00 28/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:30:00 28/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [19:00:00 28/11/2016] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [06:00:00 28/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 28/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 28/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 28/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 28/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 28/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [06:00:00 28/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 28/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 28/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [06:00:00 28/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [06:00:00 28/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [06:00:00 28/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 28/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 28/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 28/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 180 vu: ml t0: [06:00:00 28/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 34.5 vu: ml t0: [06:00:00 28/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 28/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 240 vu: ml t0: [06:00:00 28/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [06:00:00 28/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 28/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 28/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 28/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 28/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [07:00:00 28/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 28/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [07:00:00 28/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 28/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 28/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 28/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [07:00:00 28/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [07:00:00 28/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [07:00:00 28/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:00:00 28/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd
t0: [07:00:00 28/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [07:00:00 28/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [07:00:00 28/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [07:00:00 28/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 28/11/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 106 vo: 120 vu: ml st: Stopped
t0: [07:00:00 28/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 174 rs: Manual st: NotStopd t0: [07:00:00 28/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 174 rs: Manual st: NotStopd
t0: [08:00:00 28/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 28/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 28/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 28/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 28/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 28/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 28/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 28/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 28/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 28/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 28/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 28/11/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [08:00:00 28/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 28/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 28/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 28/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 28/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [08:00:00 28/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 28/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [08:00:00 28/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [08:00:00 28/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 28/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 28/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 28/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 28/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 28/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [08:00:00 28/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 28/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 28/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 28/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 28/11/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [08:00:00 28/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 28/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 28/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 28/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 28/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 28/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 28/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [08:00:00 28/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 10 u1: lpm st: NotStopd t0: [08:00:00 28/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 28/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 28/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 28/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 28/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [08:00:00 28/11/2016] id: PresSoreStage/Heal#1 el: 0 cu: CSRU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 28/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 28/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 28/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [08:00:00 28/11/2016] id: PressSore Drng/Amt#1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 28/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 28/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 28/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 28/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 28/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 28/11/2016] id: PressSoreWoundBase#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [08:00:00 28/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [08:00:00 28/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [08:00:00 28/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 28/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 28/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [08:00:00 28/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 28/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 28/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 28/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 28/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 28/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 28/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 28/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [08:00:00 28/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 28/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 28/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 28/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 28/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 28/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 28/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 28/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [08:00:00 28/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 28/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 28/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 28/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 28/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [09:00:00 28/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [09:00:00 28/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [09:00:00 28/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 28/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 28/11/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 28/11/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [09:00:00 28/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 28/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 28/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 28/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [09:00:00 28/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 28/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:00:00 28/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [09:00:00 28/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [09:00:00 28/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [09:00:00 28/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [09:00:00 28/11/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 28/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [09:00:00 28/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [09:00:00 28/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:00:00 28/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 28/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [09:00:00 28/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [09:00:00 28/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [09:00:00 28/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 28/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 150 vu: ml t0: [09:00:00 28/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 36 vu: ml t0: [09:00:00 28/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 28/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 900 vu: ml
t0: [08:00:00 28/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 28/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 28/11/2016] id: CVP el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [19:00:00 28/11/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium (Liquid) v1: 100 u1: mg tf: [19:00:00 28/11/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Ranitidine v1: 150 u1: mg tf: [19:00:00 28/11/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Multivitamins v1: 1 u1: CAP
t0: [10:00:00 28/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 28/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [10:00:00 28/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 28/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 28/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 28/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 28/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 28/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [10:00:00 28/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 28/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:00:00 28/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 28/11/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [10:00:00 28/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [10:00:00 28/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [10:00:00 28/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [10:00:00 28/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 28/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 28/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 28/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 40 vu: ml t0: [10:00:00 28/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [10:00:00 28/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [10:00:00 28/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [10:00:00 28/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 28/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 28/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 28/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 28/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 28/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 28/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [11:00:00 28/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 28/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:00:00 28/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 61.6667 u1: mmHg st: NotStopd t0: [11:00:00 28/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [11:00:00 28/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [11:00:00 28/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 28/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 28/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 28/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [11:00:00 28/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [11:00:00 28/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [11:00:00 28/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 28/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 28/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 28/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 28/11/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 113 rs: Manual st: NotStopd t0: [12:00:00 28/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 28/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 28/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [12:00:00 28/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 28/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [12:00:00 28/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 62.3333 u1: mmHg st: NotStopd t0: [12:00:00 28/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [12:00:00 28/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [12:00:00 28/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 28/11/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 28/11/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:00:00 28/11/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [12:00:00 28/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 28/11/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 113 rs: Manual st: NotStopd
t0: [12:00:00 28/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 100 vu: ml t0: [12:00:00 28/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 18 vu: ml t0: [12:00:00 28/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [12:00:00 28/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 130 vu: ml
t0: [12:00:00 28/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 28/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 28/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 28/11/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 28/11/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 28/11/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 28/11/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 28/11/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 28/11/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 28/11/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 28/11/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [12:00:00 28/11/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 28/11/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [12:00:00 28/11/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 28/11/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 28/11/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 28/11/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 28/11/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 28/11/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 28/11/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 28/11/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/11/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 28/11/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 28/11/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 28/11/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [12:00:00 28/11/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 28/11/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 28/11/2016] id: PresSoreStage/Heal#1 el: 0 cu: CSRU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 28/11/2016] id: PresSoreStage/Heal#2 el: 0 cu: CSRU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 28/11/2016] id: PresSoreStage/Heal#3 el: 0 cu: CSRU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 28/11/2016] id: Press Sore Site #2 el: 0 cu: CSRU cg: RN v1: Scrotom st: NotStopd t0: [12:00:00 28/11/2016] id: PressSore Drng/Amt#1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 28/11/2016] id: PressSore Drng/Amt#2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 28/11/2016] id: PressSore Drng/Amt#3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 28/11/2016] id: PressSoreTreatment#1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 28/11/2016] id: PressSoreTreatment#2 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 28/11/2016] id: PressSoreTreatment#3 el: 0 cu: CSRU cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 28/11/2016] id: PressSoreWoundBase#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [12:00:00 28/11/2016] id: PressSoreWoundBase#2 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [12:00:00 28/11/2016] id: PressSoreWoundBase#3 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [12:00:00 28/11/2016] id: Pressure Sore Site#1 el: 0 cu: CSRU cg: RN v1: Foot, Right st: NotStopd t0: [12:00:00 28/11/2016] id: Pressure Sore Site#3 el: 0 cu: CSRU cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 28/11/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 28/11/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 28/11/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 28/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 28/11/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 28/11/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 28/11/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 28/11/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 28/11/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 28/11/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 28/11/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 28/11/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [12:00:00 28/11/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 28/11/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 28/11/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [12:00:00 28/11/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 28/11/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [12:00:00 28/11/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 28/11/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 28/11/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Left Brachial st: NotStopd t0: [12:00:00 28/11/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [12:00:00 28/11/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 28/11/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 28/11/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [12:00:00 28/11/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [12:00:00 28/11/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 28/11/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Airbed/Kinair st: NotStopd t0: [12:00:00 28/11/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Logroll st: NotStopd
t0: [12:37:00 28/11/2016] id: PT el: 0 cu: CSRU cg: 3161 v1: 15.1 rs: Final st: NotStopd t0: [12:37:00 28/11/2016] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [12:37:00 28/11/2016] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 53.7 rs: Final st: NotStopd t0: [12:37:00 28/11/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [12:37:00 28/11/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 15.1 rs: Final st: NotStopd t0: [12:37:00 28/11/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 53.7 rs: Final st: NotStopd
t0: [14:00:00 28/11/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 28/11/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [14:00:00 28/11/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 28/11/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 28/11/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 28/11/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 28/11/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 28/11/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [14:00:00 28/11/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 28/11/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [14:00:00 28/11/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [14:00:00 28/11/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [14:00:00 28/11/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Contact st: NotStopd t0: [14:00:00 28/11/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [14:00:00 28/11/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 136.9 u1: kg st: NotStopd t0: [14:00:00 28/11/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 28/11/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 28/11/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 28/11/2016] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 30 vu: ml t0: [14:00:00 28/11/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 36 vu: ml t0: [14:00:00 28/11/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 28/11/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 130 vu: ml
t0: [14:00:00 28/11/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 28/11/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: -1 cg: RN cv: 500 ap: none
dd: 25000 ds: 4 ld: DIABETES MELLITUS W/OUT dd: 2720 ds: 6 ld: PURE HYPERCHOLESTEROLEM dd: 4019 ds: 5 ld: HYPERTENSION NOS dd: 4240 ds: 2 ld: MITRAL VALVE DISORDER dd: 99662 ds: 1 ld: INFECT DUE TO VASCULAR G dd: V090 ds: 7 ld: INF W/ MICR RESIST PENIC dd: V1046 ds: 8 ld: HX-PROSTATIC MALIGNANCY dd: V422 ds: 3 ld: HEART VALVE TRANSPLANT dd: V440 ds: 9 ld: TRACHEOSTOMY STATUS